[The anterior subcostal transperitoneal approach to the kidney. Report on a series of enlarged nephrectomies (author's transl)].
An anterior subcostal transperitoneal approach was employed in a series of 50 operations, including 43 enlarged nephrectomies for cancer. The advantages of this technique are that it gives direct access to the aortic diaphragmatic orifice and the large vessels and upper pole of the kidney, it is simple to enlarge, and it is solid. It has only minor inconveniences. As only the abdominal cavity is opened, the patient's respiratory function is preserved, especially in the elderly and those with respiratory insufficiency. With a lower mortality and morbidity, a shorter period of hospitalisation, and lower costs, it enables the same enlarged excision to be performed as during thoraco-phrenolaparotomy. It can also be employed for other types of operation on the kidneys and renal vessels, the adrenals, or the lateral aortic glands.
D000368:Aged; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D010537:Peritoneum; D011184:Postoperative Period
La voie d'abord antérieure trans-péritonéale sous-costale du rein. A propos d'une série de Néphrectomies élargies.