A.A. Zalewsky, N.S. Gorbunov, Yu.A. Shekhovcova,
A.N. Russkikh, A.D. Shabokha, O.V. Petukhova
OPERATIVE ACCESS TO KIDNEY WITHOUT DAMAGE OF LUMBAR AND INTERCOSTAL MUSCLES, VESSELS AND NERVES
Valentin Voyno-Yasenetsky’s Krasnoyarsk State Medical University
Summary: Description of operative access to the kidney in which skin, fatty layer, superficial fascia and the latissimus dorsi muscle together with sheets of own fascia dissected along its fibers above of meddle of XII rib on its length, the edges of the cut bred, bare a XII rib and dissect by circular milling cutter on a longitudinal axis to extensor muscle of the back, the fragments of rib conduct the dilator of cut, bare the cellulose of own retroperitoneum, it together with a bud remove layer by layer from ribs and diaphragm, take forward, bare the back surfaces of kidney, renal pelvis and overhead department of ureter, an operative reception is execute (nephrectomy; pielolitotomy; ureterolithotomy).
Key words: urology, the operative access to the kidney.