Aubert D, Bodonny J M, Dodat H
Service de Chirurgie Pédiatrique, Hôpital Saint-Jacques, Besançon.
Chir Pediatr. 1988;29(5):259-63.
The Simon posterior surgical approach to the kidney is excellent for pyeloplasty in children. The technique is reviewed and the advantages and limitation are discussed. This procedure has advantages of direct anatomic approach and excellent exposure of ureteropelvic area. In the newborn, the oral intake can be performed on the evening of surgery because there is no operative peritoneal mobilization. The posterior approach is especially recommended in simultaneous bilateral pyeloplasty. With transverse skin incision, a very cosmetic scar is obtained.
西蒙后入路手术方法对于儿童肾盂成形术而言非常出色。本文回顾了该技术，并讨论了其优点和局限性。该手术具有解剖入路直接以及输尿管肾盂区域暴露良好的优点。对于新生儿，由于术中未进行腹膜游离，术后当晚即可经口进食。后入路尤其适用于双侧同期肾盂成形术。采用横向皮肤切口，术后瘢痕非常美观。
