肾癌根治性切除术需切除整个肾脏、肾周脂肪、盖氏筋膜和肾上腺。以前有人推荐经腹腔途径切除肾下极肿瘤和经胸腹联合切口途径切除肾上极肿瘤。作者描述了经腹直肌旁腹膜后途径行根治性肾切除术。方法:病人取半侧位,同侧肩部抬高固定在大约60°侧位,骨盆向后旋转在30°～40°侧位,沿着腹直肌旁从耻骨联合上方到肋缘然后斜向上方延长到胸 Radical resection of the kidney need to remove the entire kidney, perirenal fat, Gai fascia and adrenal. It was previously recommended by the abdominal cavity removal of subadultaneous neoplasms and thoracoabdominal incision approach excision of renal tumors. The authors describe radical nephrectomy via the retroperitoneal approach to the rectus abdominis. Methods: The patient took half of the abdomen, ipsilateral shoulder elevation fixed at about 60 ° lateral position, the pelvis rotated back in the 30 ° ~ 40 ° lateral position, along the rectus abdominis along the pubic symphysis to the top of the rib and then oblique Extend to chest above