Editing Open Kidney Surgery (section)

=== Dorsal lumbotomy ===
* '''Useful in'''
*# '''Pediatric patients'''
*# '''Thin adults requiring bilateral nephrectomy'''
* '''Main advantage: low morbidity since no muscle is transected'''.
** Anatomic approach to the kidney, with incision of fascial planes rather than muscle.
* '''Main disadvantage: lack of exposure, particularly to the renal hilum and its vessels'''
* Surgical description
** Position: prone
** Incision: vertical skin incision from the inferior border of the 12th rib to the iliac crest, in line with the lateral border of the sacrospinalis muscle.
** [Further details in Campbell’s]