Merrill D C
J Urol. 1977 Jan;117(1):15-8. doi: 10.1016/s0022-5347(17)58322-6.
Exposure to the retroperitoneal space may be improved by performing thoracotomy through the 8th rib bed rather than the 9th or 10th and by combining a subcostal incision with the standard longitudinal abdominal incision. This modification of the standard thoracoabdominal incision has been used to remove giant hypernephromas, to perform radical nephrectomies with node dissection and to remove retroperitoneal lymphatic structures in non-seminomatous testis tumors.
通过经第8肋床而非第9或第10肋床进行开胸手术,并将肋下切口与标准的腹部纵切口相结合,可改善对腹膜后间隙的暴露。这种对标准胸腹联合切口的改良已被用于切除巨大肾细胞癌、进行伴有淋巴结清扫的根治性肾切除术以及切除非精原细胞瘤性睾丸肿瘤中的腹膜后淋巴结构。