The Giuliani muscle splitting and nerve-sparing anterolateral transabdominal approach to the kidney

被引：7

作者：

Giberti, C ^{[1
]}

Martorana, G ^{[1
]}

Carmignani, G ^{[1
]}

机构：

[1] UNIV GENOA,LUCIANO GIULIANI INST UROL,GENOA,ITALY

来源：

UROLOGY | 1996年 / 47卷 / 06期

关键词：

D O I：

10.1016/S0090-4295(96)00053-2

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

We report on an anterolateral transabdominal approach to the kidney, which is appropriate when vascular control is important (such as, radical nephrectomy, traumatic renal injury, and difficult nephrectomy). The technique splits muscles and spares nerves and that allows good exposure both downward as far as the aortic bifurcation and upward as far as the diaphragm. This approach has been used in 42 patients during the last 20 months (mean follow-up, 6.5). In all these patients the active control of the abdominal wall muscles has been completely preserved, while, during the period from 1974 to 1994, about half of 434 patients who underwent the same approach, but with muscle and nerve transection, showed abdominal wall relaxation.

引用

页码：911 / 914

页数：4