Mini-flank supra-11th rib incision for open partial or radical nephrectomy.

摘要

Sir,We read with interest this recent article by DiBlasio et al but felt that several issues invited further comment. The authors clearly felt that minimising the skin incision was important in minimising morbidity, but the length of an open surgical skin incision does not necessarily reflect the length of incision in the underlying muscle layer, as there is the potential for inverted'funnelling'. The greatest predictor of pain is usually the degree of prolonged muscle bruising after dynamic retraction using a blunt retractor, and this is likely to be much greater than when laparoscopic incisions are 'joined' to harvest the specimen.