[Transperitoneal anterior approach to the neoplastic kidney]

The authors present 51 cases of malignant renal tumours approached by the transperitoneal anterior route. The authors preferred a bilateral subcostal incision sectioning the insertions of both abdominals, that was prolonged in the para-rectal region on the right or on the left, according to case, into the vicinity of the femural arcade. In this group of 51 cases 8 explorations of the inferior cava were performed and in one case total resection of the abdominal cava was carried out. In 4 of the patients nephrectomy was associated with splenectomy (2 cases), with colecystectomy and with right duodeno-hemicolectomy (one case each).