A one-stage, one-incision operation on the kidney, gallbladder and caecum under local anesthesia

Abstract

The idea of the possibility of access from the lumbar incision to the liver, gallbladder and ducts is not new; there are numerous references to this in the literature (Fgapk, Meags, Tu ffieg, Wgight, Reboul, Trinkler, etc.). Frank, for example, even points to the benefits of a lumbar incision for surgery on the biliary tract in terms of convenience of postoperative treatment, convenience of drainage and less danger of postoperative hernias. Most recently, Hrtel) has been focusing the attention of surgeons on lumbar incisions for operations not only on retroperitoneal organs, but also for abdominal operations (spleen, pancreas, duodenum, colon, etc.). Without mentioning the whole issue here, I must say that the clinic has enough reasons for wanting to get operative access to the right kidney and gallbladder simultaneously. The first reason for this in normal conditions may be diagnostic difficulties. There are cases when the surgeon, exposing the kidney, simultaneously felt the stones in the gallbladder and was forced to continue the operation on the bile ducts from the same incision.