本文报导采用经腹或经胸腹径路进行肾腺癌、肾盂上皮细胞癌、肾上腺癌、腹膜后肿瘤的根治,马蹄肾离断整形,巨大肾积脓切除等较复杂的泌尿外科手术共31例。体会到此径路能使术野暴露充分,并可取得满意的手术效果。文中重点介绍了手术方法,对手术的优点和有关并发症也进行了讨论。 This article reports the use of abdominal or thoracic and abdominal pathways for renal adenocarcinoma, renal pelvis epithelial cell carcinoma, adrenal cancer, retroperitoneal tumor radical, horseshoe kidney reshaping plastic surgery, giant pyometra resection more complicated urological surgery a total of 31 cases . Experience this path can make surgical field exposure, and can obtain satisfactory surgical results. The article focuses on the surgical methods, the advantages of surgery and related complications are also discussed.