Polat Fazlı, Atan Ali, Yeşil Süleyman, Dikmen Kürşat, Ünsal Ali
Department of Urology, Gazi University School of Medicine, Ankara, Turkey.
Depart ment of General Surgery, Gazi University School of Medicine, Ankara, Turkey.
Turk J Urol. 2019 Nov 1;45(6):467-470. doi: 10.5152/tud.2019.68745. Print 2019 Nov.
To evaluate the modified Makuuchi incision in the surgical treatment of renal tumors.
A total of 29 patients with renal tumors were operated using the modified Makuuchi incision. Patients' age ranged from 48 to 72 years. Twenty-three patients were male, and 6 patients were female. Renal tumors affected the right side in 22 patients and the left side in 7 patients. Twenty-six patients underwent radical nephrectomy, while 3 patients underwent partial nephrectomy.
A perfect exposure was achieved with this incision in the surgical field. No serious complications such as bleeding or other organ injuries happened during the surgery. Blood transfusion during surgery was unnecessary. Additional use of analgesics due to wound pain during the postoperative period was not required. Incision-related complications, such as wound infection and wound dehiscence, did not occur in the early postoperative period. Patients had no complaints about the cosmetic appearance of their abdomen due to the incision. Incisional hernia was not observed in patients.
This type of incision provided a perfect exposure of the field in the surgical treatment of renal tumors.
评估改良马库uchi切口在肾肿瘤手术治疗中的应用。
采用改良马库uchi切口对29例肾肿瘤患者进行手术。患者年龄在48至72岁之间。男性23例，女性6例。右侧肾肿瘤22例，左侧肾肿瘤7例。26例行根治性肾切除术，3例行部分肾切除术。
该切口在手术视野中实现了完美暴露。手术过程中未发生出血或其他器官损伤等严重并发症。手术中无需输血。术后无需因伤口疼痛额外使用镇痛药。术后早期未发生与切口相关的并发症，如伤口感染和伤口裂开。患者对因切口导致的腹部外观无抱怨。未观察到患者发生切口疝。
这种切口在肾肿瘤手术治疗中能提供完美的手术视野暴露。
