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KMID : 0365819750150020355
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Journal of Pusan Medical College
1975 Volume.15 No. 2 p.355 ~ p.362
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A Clinical Study on Intrasinusal Pyelolithotomy and Ureterolithotomy Using Posterior Vertical Incision
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Abstract
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The author obtained the following results through comparative investigation between experiences from intrasinusal pyelolithotomy, ureterolithotomy by posterior vertical incision devised by Gil-Vernet and extended pyelolithotomy, ureterolithotomy by lumbar incision.
1. While there was no difference in operation time between posterior vertical incision and lumbar incision for renal stones, operation time was more or less shortened in posterior vertical incision compared with lumbar incision for ureteral stones.
2. Blood loss during operation in posterior vertical incision, as compared with lumbar incision, was reduced to a half.
3. While narcotic analgesics were used postopertively in whole cases of lumbar incision, mild narcotic analgesics were used in a few cases of posterior vertical incision. But there was no necessity in the use of narcotic analgesics in whole cases of posterior vertical incision.
4. There was no difference in the degree of postoperative urine leakage between lumbar and posterior vertical incision for renal and ureteral stones.
5. In posterior vertical incision for renal and ureteral stones, as compared with lumbar incision, postoperative ambulation day was reduced to a half and postoperative hospitalization period was also shortened to one third.
Considering above mentioned results, in the posterior vertical incision operative invasion was minimal by approach into retroperitoneal space without cutting muscle layers, in addition early ambulation and early discharge were possible.
Especially by performing intrasinusal pyelolithotomy in the state of pyelolithotomy in situ, reoperation was possible in the race of recurrence of stones.
I think posterior vertical incision seems to be a reasonable method for surgical management of renal and upper ureteral stones.
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