Cadaveric study of arterial renal anatomy and its surgical implications in partial nephrectomy

Features of blood supply to the human kidney with a five-segment concept of its structure

“…The stage-by-stage topographic and anatomical analysis demonstrated the following most common variant of branching of the links in the arterial bed of the kidney: 1) dichotomous (70 %, 81/116) division of A. renalis (I) to the ventral and dorsal branches (II) (54.3 %, 63/116) at a distance from the hilum of the kidney (70 %, 44/63). In the study by Bouzouita et al (23), the division of A. renalis (I) into the ventral and dorsal branches (II) was found in 95.7 % of cases (n=68/71); in the study by Daescu et al (24), in 70 % of cases (n=42/60); in the work by Macchi et al (19), in 66.6 % of cases (n=10/15). In the study by Daescu et al (24), the separation of A. renalis (I) at a distance from the hilum of the kidney was observed in 81.67 % of cases; in the hilum of the kidney in 10 % of cases; inside the sinuses in 8.33 % of cases (n=60).…”

Intra-renal Arteries in Nephrectomy from a Historical Aspect,. a Quest Originated by Medical Illustrations to Reach Modern Angiography

“…In 1998, the Terminologia Anatomica consensus homologated two branches of the renal artery: i) the anterior, and ii) posterior, while five segmental branches were recognized: i) four from the anterior branch and ii) one from the posterior branch. This partially altered Graves' categorization after almost 70 years of global acceptance (19). The modern practice of thorough presurgery mapping of the renal arterial net is the outcome of the diachronic anatomical investigation which is highlighted in this essay.…”

“…With the evolution of microsurgery and the tendency towards the saving of organ tissues rather than complete resection, partial nephrectomy is gaining more interest in oncological kidney surgery, and in polytraumatic patients. Kidney microsurgery requires mapping and a good knowledge of the vascular intra-renal anatomy for acceptable outcomes both oncologically and functionally (17)(18)(19). Thus, nephrectomy requires imaging, nephrometry scoring systems, and vascular control techniques so that the surgeon is able to maximize the remaining vascularized parenchyma, control renal function and minimize local ischemia (20).…”

Multiple variation of right renal and gonadal vascularization: report of two cases

“…The origin and course of the vessels to the kidneys must be carefully identified to preserve normal blood flow and to prevent possible anatomical variations from becoming clinically complex abnormalities. 3 , 4 Radiologists, vascular surgeons, urologists, and oncologists should be familiar with anatomical variations to provide an accurate diagnosis during preoperative studies.…”