Masaki Z, Iguchi A, Kinoshita N, Kumazawa J, Yamaguchi A, Fujisawa Y
Urology. 1985 Nov;26(5):461-5. doi: 10.1016/0090-4295(85)90154-2.
A small renal sinus often limits exposure of the intrarenal pelvis and restrains the sinus approach for removal of renal stones. For 14 such cases, we used a lower pole nephrotomy combined with extended pyelolithotomy. Incision of the renal parenchyma through the intersegmental avascular plane greatly facilitated exposure of the intrarenal collecting system and enabled stone removal through the longitudinal incision of the collecting system. The indication for operative technique and results of the procedure are described.
小肾窦常限制肾盂内的暴露，并限制经肾窦途径取肾结石。对于14例此类病例，我们采用下极肾切开术联合扩大肾盂切开取石术。通过节段间无血管平面切开肾实质极大地便于暴露肾盂内集合系统，并能通过集合系统的纵行切口取出结石。本文描述了该手术技术的适应证及手术结果。
