title: [Simon's posterior vertical lombotomy in the conservative treatment of upper lumbar renal and ureteral lithiasis].
abstract: The authors present their experience accumulated in the treatment of 107 cases in which they have applied posterior vertical lombotomies as a conservative method of renal lithiasis and of the upper lumbal urether, and they re-actualize ore of the less used approaches. From the very beginning it is evident that vertical posterior lombotomy can be used as a narrow approach and, at the same time it can be created or it may be widended, just as a classical lombotomy. A secure technique, that of intra-sinusal pyelotomy, will determine, together with the type of the lithiasis, a choice of posterior lombotomy, with a sufficiently wide access pathway, which only in exceptional conditions will necessitate a cranial or caudal extension. This type of lombotomy, without fatalities, intra-surgical hemorrhagic accidents, severe complications after surgery, and especially, lacking the risk of lithiasis relapse, allows for an in situ kidney surgery and will protect the tissues to the utmost.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014514:Ureteral Calculi / Q000601:surgery*
vernacular_title: Lombotomia verticală posterioară Simon in tratamentul conservator al litiazei renale şi a ureterului lombar superior.