Extrarenal vascular anatomy of kidney: Assessment of variations and their relevance to partial nephrectomy

Weld, Kyle J.; Bhayani, Sam B.; Belani, Jay S.; Ames, Caroline D.; Hruby, Greg; Landman, Jaime

doi:10.1016/j.urology.2005.05.023

Cited by 71 publications

(45 citation statements)

References 5 publications

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“…The length of the artery has been a significant factor in determining accessibility to vascular clamping [7]. In the study by Nohara et al [15], anatrophic partial nephrectomy with selective renal segmental artery clamping was not very difficult to perform when the length of the tumour-feeding artery on angiograms was .10 mm.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, they measured the length of the tumour-feeding artery on a two-dimensional (2D) conventional angiogram, which did not reflect the true length of the arteries in the operating field [15]. With 73 fixed cadaveric kidneys, Weld et al [7] reported that the average extrarenal length of the segmental plus pre-segmental arteries that were accessible to segmental arterial clamping was 31 mm. In our study, the mean extrarenal length of the inferior segmental plus pre-segmental arteries, posterior segmental plus presegmental arteries and lower pole tumour-feeding arteries was .31 mm.…”

Section: Discussionmentioning

confidence: 99%

“…With advanced surgical techniques, laparoscopic partial nephrectomy has become an accepted alternative for patients with renal tumours [2][3][4][5][6]. Clamping of the main renal artery is a commonly used technique to decrease intraoperative haemorrhage in partial nephrectomy, and renal hilar control provides improved visibility for tumour resection and repair of the renal collecting system [7,8]. However, this technique causes warm ischaemic injury, affecting renal function after partial nephrectomy.…”

Section: Advances In Knowledgementioning

confidence: 99%

“…However, this technique causes warm ischaemic injury, affecting renal function after partial nephrectomy. Further, a warm ischaemia time of longer than 20 min can result in significant renal functional loss [7][8][9].…”

Section: Advances In Knowledgementioning

confidence: 99%

“…The perihilar branching patterns and the number of the main renal arteries and the presence of an accessory artery were assessed on both sides. According to the study of Weld et al [7], the pre-segmental artery was defined as a branch of the main renal artery that divided into two or more segmental arteries and the segmental artery was defined as a branch that enters the renal parenchyma. The main renal artery was defined as an artery running from the ostium to the first branching point.…”

Section: Image Interpretation and Analysismentioning

confidence: 99%

See 4 more Smart Citations

Perihilar branching patterns of renal artery and extrarenal length of arterial branches and tumour-feeding arteries on multidetector CT angiography

Kang¹,

Sung²,

Park³

et al. 2013

The British Journal of Radiology

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Advances In Knowledgementioning

confidence: 99%

Section: Advances In Knowledgementioning

confidence: 99%

Section: Image Interpretation and Analysismentioning

confidence: 99%

See 3 more Smart Citations

Perihilar branching patterns of renal artery and extrarenal length of arterial branches and tumour-feeding arteries on multidetector CT angiography

Kang¹,

Sung²,

Park³

et al. 2013

The British Journal of Radiology

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Renal Arteries

Mishall

2016

Bergman's Comprehensive Encyclopedia of Human Anatomic Variation

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Integration of anatomical and radiological analysis suggests more segments in the human kidney

et al. 2018

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An increasing number of observations have called the general scheme of five renal segments into question: anatomists, radiologists, and surgeons have reported discrepancies between Graves's scheme and morphological observations. The aims of the present study are: (1) to assess the correspondence between a virtual and a real vascular cast of the kidney; (2) to analyze the arterial anatomy with reference to the renal segments. Fifteen kidneys were injected with acrylic resins to obtain vascular casts, which were also analyzed by computed tomography. A mean of 6.3 (range 4–8) avascular fissures was found, indicating a mean of 7.3 segments (range 5–9). In the superior and middle territories there was a single segment in 4 (26.7%) and 8 (53.3%) cases, respectively, and there were two segments in 11 (73.3%) and in 7 (46.7%) cases, respectively. In the inferior territory there was a single segment in two cases (13.3%), two segments in nine (60%), and three segments in four (26.7%). A mean segmental volume of 550.5 mm3 was calculated; the posterior (1,030.1 mm3, 28.9%) and inferior (450.3 mm3, 24.2%) segments were the largest. More third order branches were identified in the inferior segments than in the other segments (three branches of the inferior segmental artery in 26.6%). According to these data the inferior segment occupies the inferior pole, extending both anteriorly and posteriorly. In conclusion, the high correspondence between a virtual and a real vascular cast permits more segments to be identified than those described by Graves, and the volume of each segment can be calculated. Clin. Anat., 2018. © 2018 Wiley Periodicals, Inc.

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Extrarenal vascular anatomy of kidney: Assessment of variations and their relevance to partial nephrectomy

Cited by 71 publications

References 5 publications

Perihilar branching patterns of renal artery and extrarenal length of arterial branches and tumour-feeding arteries on multidetector CT angiography

Perihilar branching patterns of renal artery and extrarenal length of arterial branches and tumour-feeding arteries on multidetector CT angiography

Renal Arteries

Integration of anatomical and radiological analysis suggests more segments in the human kidney

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