Raynor R W, DelGuercio L R
Surgery. 1986 Jan;99(1):95-101.
Subperiosteal resection of the eleventh rib with transcostal, extrapleural entrance into the retroperitoneum for exposure of the kidneys or adrenal glands has been well described in the urologic literature. We have used the incision with transperitoneal extension for various procedures in the upper abdomen. The following is a description of our operative technique with suggestions for procedures in which the incision may be used. The incision is ideal for splenectomy, distal splenorenal shunts, resections of the pancreatic body and tail, portacaval shunts, right hepatic lobectomy, and transperitoneal unilateral adrenalectomy.
在泌尿外科文献中，对于通过经肋、胸膜外入路进入后腹膜进行第11肋骨膜下切除以暴露肾脏或肾上腺已有详尽描述。我们已将这种经腹延伸切口用于上腹部的各种手术。以下是我们的手术技术描述以及关于可使用该切口的手术建议。该切口适用于脾切除术、远端脾肾分流术、胰体尾切除术、门腔分流术、右肝叶切除术以及经腹单侧肾上腺切除术。
