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这里描述一种使肾盂切开术进入肾下极肾盏显示一个接近无血视野的方法。当施行Gil-Vernet肾盂石切除术时常遇到肾窦不能提起,不能充分剖割分离进入肾实质以便到达结石所在。在介于后、下血管节段间作肾下极切开可到达下肾盏系统提供较好视野,使对结石的操作较容易,几乎常常可以避开后动脉的分支。在作此剖割分离时,视野较干洁,应用静脉牵开器可将肾实质提起。用4-0铬制肠线缝合1.5cm,沿牵开器下方,在外面穿过肾实质,然后结扎。第二针缝线与前者相仿,在第一次缝线旁约1.5cm处。在
Described here is a method of making a pelvic incision into the lower kidney renal calyx shows a near bloodless vision method. When performing Gil-Vernet Phyolithotomy often encountered when the renal sinus can not lift, can not be fully split into the renal parenchyma in order to reach the stones. Between and after the inferior segment of the blood vessels for subrenal pole incision can reach the lower calyx system provides a better field of vision, so that the operation of stones easier, almost always can avoid the branch of the posterior arteries. In the dissection of the separation, the vision is more clean, the application of venous retractor renal parenchyma can lift. Suture 1.5 cm with 4-0 chrome gut, under the retractor, outside through the renal parenchyma, and then ligate. The second needle suture with the former similar to the first suture by about 1.5cm. in