Pulatov A T
Khirurgiia (Mosk). 1993 Aug(8):12-6.
The author suggests a modification of the Rivoir-Pytel-Lopatkin operation for children with II-III degree nephroptosis. It consists in careful atraumatic separation from the surrounding tissues of the whole kidney, the upper third of the ureter, and the main vessels of the kidney for a distance from its hilus to the site of their origin from the aorta and drainage into the inferior vena cava. A pedicle graft measuring 3-3.5 cm in width and thickness and 13-15 cm in length is formed from the psoas major muscle with maintained circulation. The graft is sutured to the lower pole of the kidney preserving the intactness of the capsule. Care is taken that the main vessels of the raised kidney are situated, where possible, perpendicular to the aorta and inferior vena cava. A band is worn for 12-18 months after the operation. Eight children were operated on. The late-term results in follow-up periods of 6 months to 3 years are favorable.
作者建议对患有II - III度肾下垂的儿童的里沃伊尔 - 皮特 - 洛帕特金手术进行改良。该改良手术包括小心地将整个肾脏、输尿管上三分之一以及肾主要血管与其周围组织进行无创伤分离，分离距离从肾门到它们在主动脉的起源部位以及流入下腔静脉处。由腰大肌形成一个宽和厚为3 - 3.5厘米、长为13 - 15厘米的带蒂移植物，同时保持其血液循环。将移植物缝合到肾脏下极，保持肾包膜完整。注意使上提肾脏的主要血管尽可能垂直于主动脉和下腔静脉。术后佩戴腹带12 - 18个月。8名儿童接受了手术。随访6个月至3年的远期结果良好。
