Das S, Harris C J, Amar A D, Egan R M
J Urol. 1983 Feb;129(2):266-70. doi: 10.1016/s0022-5347(17)52043-1.
During a 30-month interval 26 patients underwent pyelolithotomy or upper ureterolithotomy through the dorsovertical lumbotomy approach. The intraoperative course and postoperative performance were compared to those in a similar group of patients operated upon using the standard flank incision. Our analysis established the superiority of the dorsovertical lumbotomy incision for all factors evaluated, especially postoperative drainage, analgesic use and hospital stay. The surgical steps are described in detail and the relative contraindications are discussed.
在30个月的时间里，26例患者通过背侧垂直腰部切口行肾盂切开取石术或上段输尿管切开取石术。将术中过程及术后表现与采用标准侧腹切口手术的相似患者组进行比较。我们的分析表明，对于所有评估因素，背侧垂直腰部切口均具有优势，尤其是术后引流、镇痛药物使用及住院时间。文中详细描述了手术步骤并讨论了相对禁忌证。
