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Related Experiment Video

Updated: Jan 2, 2026

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
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Transverse Lumbotomy for Open Partial/Radical Nephrectomy: How I Do It.

Asmaa Ismail1, Fabiola Oquendo1, Erika Allard-Ihala1

  • 1Department of Urology, Northern Ontario School of Medicine, Thunder Bay, Ontario, Canada.

Urologia Internationalis
|December 12, 2019
PubMed
Summary
This summary is machine-generated.

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This study introduces a safe and reproducible transverse lumbotomy technique for kidney surgery, offering minimal renal exposure and avoiding complications associated with conventional open methods.

Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Conventional open surgery for renal malignancies presents challenges and drawbacks.
  • Minimizing surgical exposure is crucial for reducing patient morbidity.

Purpose of the Study:

  • To present a novel technique for minimal renal exposure during open kidney surgery.
  • To avoid intrinsic complications associated with traditional surgical approaches.

Main Methods:

  • Description of a transverse lumbotomy technique for open kidney surgery.
  • Technique designed for ease of understanding and replication by urologists.

Main Results:

  • Successfully applied to 95 patients over 4 years with a median operating time of 70 minutes.
  • No intraoperative blood transfusions were required; median warm ischemia time was 9 minutes.
Keywords:
LumbotomyNephrectomyRenal cell carcinoma

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  • Three patients required conversion to an extended intraperitoneal wound for large upper pole tumors.

    • Conclusions:

    • Transverse lumbotomy is a safe and reproducible method for kidney exposure.
    • The technique utilizes a smaller incision, avoiding rib resection and pleural complications.
    • It effectively circumvents the need for intraperitoneal exposure in most renal malignancy cases.