Large longitudinal nephrotomy (so-called section-incision) is to regarded as an alternative to intrasinusal pyelotomy [Suracco and GIL-VERNET, 1965] in markedly inflamed kidneys with staghorn calculi and in cases of recurrent staghorn calculosis. The section-incision is well tolerated by the kidney and, in our practice, in contrast to staghorn calculous removal via the pyelon, results in less permanent disturbances of outflow at the ureteral junction and calyceal neck. To produce intermittent ischemia the Rumel tourniquet is employed at section-incision. Comparative experience is reported in 15 cases of staghorn calculous removal via the pyelon, in part extended intrasinually, and 17 cases done by the section-incision method.

Keywords:
Staghorn calculi, Coralliform (renal) stones, Renal bisection, Renal bivalve, Nephrotomy, Nephrolithotomy, Complete longitudinal, Nephrolithotomy, Intraoperative X-ray, Intrasinusal pyelolithotomy
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© 1971 S. Karger AG, Basel
1971
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