subrenal pyelonephrectomy

Inferior renal pelvis and renal pelvis combined with incision and stone removal are applicable to: 1. Giant pyelone stones, especially the staghorn-shaped stones branch into the lower renal pelvis, can not be cut through the renal pelvis or renal sinus renal pelvis. 2. Larger or multiple infrarenal calculi, relatively small neck of the renal pelvis, can not be cut through the kidney or renal sinus renal pelvis. Treatment of diseases: kidney stones Indication 1. If there is an acute urinary tract infection, surgery should be performed after the cure. In the absence of infection, antibiotics were applied 48 hours before surgery to prevent postoperative infection. 2. Prepare blood 300~600ml. Surgical procedure 1. Incision and exposure of the kidney revealed the kidney through the 11th intercostal incision. Because it is necessary to temporarily block the blood flow of the kidney, the entire kidney should be freed, and the renal artery and vein trunk should be separated. 2. Block the renal blood flow, cut the renal pelvis and expose the renal pedicle, and temporarily block the blood flow of the kidney with a non-invasive vascular clamp or a blood vessel clamp. A longitudinal incision of the renal pelvis is performed and extends along the incision to the inferior pole of the kidney, and the renal parenchyma is cut until the inferior pelvis is cut. 3. Use 3-0 absorbable line to suture the renal parenchymal incision to stop bleeding. 4. Remove the stone and pull the incision, gently remove the stone and check its integrity. 5. Place a renal ostomy or a renal stoma. 6. Suture of the renal incision The renal pelvic incision was sutured with a 4-0 absorbable line. The renal parenchymal incision was sutured with a 2-0 absorbable line or a suture. After the suture was completed, the renal pedicle was opened and the bleeding was observed. If there was bleeding in the renal parenchyma incision, the suture should be added. 7. Sew the incision and place the drainage.