Das S, Egan R M, Amar A D
J Urol. 1987 May;137(5):862-4. doi: 10.1016/s0022-5347(17)44274-1.
Between July 1978 and December 1985, 100 patients underwent an operation on the kidneys and ureter through the dorsal lumbotomy approach. A total of 12 patients underwent dismembered pyeloplasty for ureteropelvic junction obstruction. Compared to patients who underwent an operation via the standard flank incision, these 12 patients had significantly shorter hospitalization and fewer doses of analgesics. The treatment demonstrated improved cost-effectiveness. Similar advantages were noted in the remaining patients in whom removal of calculi (78), open renal biopsy (5), simple nephrectomy (4) and removal of a foreign body in the ureter (1) were done through the dorsal lumbotomy approach. We appeal for a renaissance of the dorsal lumbotomy approach in urological teaching and practice.
1978年7月至1985年12月期间，100例患者通过背部腰椎切开术入路接受了肾脏和输尿管手术。共有12例患者因肾盂输尿管连接部梗阻接受了离断性肾盂成形术。与通过标准侧腹切口进行手术的患者相比，这12例患者的住院时间明显缩短，镇痛药用量也更少。该治疗方法显示出更高的成本效益。在其余通过背部腰椎切开术入路进行结石清除（78例）、开放性肾活检（5例）、单纯肾切除术（4例）和输尿管异物取出术（1例）的患者中也观察到了类似的优势。我们呼吁在泌尿外科教学和实践中复兴背部腰椎切开术入路。
