目的　探讨第十一肋间胸、腹膜外切口在肾及肾上腺手术中的应用。方法　对 6 5例患者采用经第十一肋间胸、腹膜外切口进行肾及肾上腺的手术。结果　 6 5例无手术死亡 ,完成切口所需时间 10～ 2 5分钟。术后7～ 8天切口拆线 ,无并发症发生。结论　经第十一肋间胸、腹膜外切口进行肾及肾上腺手术具有操作简单 ,组织损伤小 ,术野显露好 ,术后恢复快的优点 Objective To investigate the application of the eleventh intercostal thoracic and extraperitoneal incision in the surgery of the kidneys and adrenal glands. Methods Sixty-five patients underwent surgery of the kidneys and adrenals through the eleventh intercostal thoracic and extraperitoneal incisions. Results Sixty-five patients died without surgery, and the time required to complete the incision was 10 to 25 minutes. 7 to 8 days after incision stitches, no complications. Conclusion The eleventh intercostal thoracic and extraperitoneal incision of the kidney and adrenal surgery has the advantages of simple operation, small tissue damage, surgical field exposure is good, fast recovery after surgery