Park S C, Kim S D, Kim J I, Moon I S
Division of Vascular and Transplant Surgery, Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Transplant Proc. 2008 Sep;40(7):2347-8. doi: 10.1016/j.transproceed.2008.07.028.
Usually, the transplanted kidney is placed into the right retroperitoneal iliac fossa through a right abdominal surgical skin incision. The skin incision may be oblique or inverted J-shaped known as the "hockey stick." The oblique or curvilinear incision, parallel to the inguinal ligament, known as the "pelvic Gibson incision," is also extended medially to the midline, just above the pubis. The most common incision for kidney transplantation in our center is a paramedian incision, which is parallel to rectus abdominis muscle and extends medially to the midline, just above the pubis symphysis ("hockey stick"). Nowadays, minimally invasive surgery is popular in various field of surgery; the number of patients who are concerned about cosmetic effects are increasing. We make the skin incision in the lower right abdomen from laterally below the anterior superior iliac spine to the midline just above the pubis in five young unmarried women whose body mass index was >25 and there were no anatomic variations. The lower transverse abdominal skin incision showed more favorable cosmetic results and there was no difference in postoperative factors, including renal function, compared with other routine renal transplant patients.
通常，通过右侧腹部手术皮肤切口将移植肾置于右腹膜后髂窝。皮肤切口可以是斜切口或倒J形，即所谓的“曲棍球棒”切口。与腹股沟韧带平行的斜切口或曲线切口，即所谓的“盆腔吉布森切口”，也向内侧延伸至耻骨上方的中线。我们中心肾移植最常用的切口是旁正中切口，该切口与腹直肌平行，向内侧延伸至耻骨联合上方的中线（“曲棍球棒”切口）。如今，微创手术在外科各领域都很流行；关注美容效果的患者数量在增加。我们对5名体重指数>25且无解剖变异的年轻未婚女性，在右下腹部从前上棘下方外侧至耻骨上方中线做皮肤切口。与其他常规肾移植患者相比，下腹部横切口显示出更良好的美容效果，且在包括肾功能在内的术后因素方面没有差异。
