The Anatomic Structure of a Fused Renal Pyramid and Its Clinical Significance in the Establishment of Percutaneous Renal Access
| Autor: | Yuqi Xia, Ting Rao, Yuan Ruan, Fan Cheng, Jingxiao Lu, Stéphane Larré, Fangyou Lin, Jinzhuo Ning, Peng Ye, Weimin Yu |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Percutaneous Swine Urology medicine.medical_treatment 030232 urology & nephrology Renal column Nephrolithotomy Percutaneous Punctures Kidney 03 medical and health sciences 0302 clinical medicine medicine Animals Humans Clinical significance Percutaneous nephrolithotomy Intraoperative Complications Kidney Medulla business.industry food and beverages Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Renal pyramids Blood Vessels business Cadaveric spasm Artery |
| Zdroj: | Urology. 124 |
| ISSN: | 1527-9995 |
| Popis: | OBJECTIVE To explore the clinical significance of the fused renal pyramid (FRP) in establishing percutaneous renal access, and the anatomic basis for avoiding vascular injury caused by puncturing through this renal pyramid with the aim of achieving accurate puncture in percutaneous nephrolithotomy. MATERIALS AND METHODS Sixty-two cadaveric kidneys and 105 porcine kidneys were selected for the assessment of regional anatomy, to explore the anatomic structure of the FRP and determine its frequency. Then, we compared the effects of 4 different puncture paths on the occurrence of renal vascular injury when respectively punctured through the normal renal pyramid (group A), the centerline of one side pyramid of the FRP (group B), the center of the entire FRP (group C) and the renal column (group D). RESULTS The incidence of FRP in human kidneys is not low. The artery in the kidney can be divided into 6 grades. The grade IV branch-interlobar artery courses through the FRP. There was significant difference in the degree of arterial injury between the group A and C (P = .003), while no significant difference between the group A and B (P = .151). There was significant difference in the proportion of interlolar artery injury between group A and C (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect