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RENAL EXCRETORY SECTORS (OR SEGMENTS) IN APPLICATION TO PARTIAL RESECTION

M. P. Burykh

Abstract

One thousand and ninety-four normal human kidneys and 18 abnormal ones (with duplication of the ureter) were studied by a corrosion method and pyelography followed by topometric and mathematic analyses. It has been found out that renal pelvis is a calicopelvic complex built-up of renal calices, urinary ducts, and renal pelvis itself. Before opening into the renal pelvis, renal calices join together forming urinary ducts (superior and inferior; or superior, middle and inferior; or superior, middle anterior, middle posterior and inferior) transporting urine to the container, the renal pelvis. It can be seen that groups of renal calices with pyramids and a cortical substance surrounding them form the renal excretory sectors of the kidneys where the processes of uropoiesis and transportation of urine through elements of the nephron and calicopelvic complex take place. These are two (superior and inferior), three (superior, middle and inferior) or four (superior, middle anterior, middle posterior and inferior) renal excretory sectors. The existence of renal excretory sectors is proved by a congenital anomaly of the calicopelvic complex such as duplication of the ureter where urinary ducts of the superior and inferior renal excretory sectors do not form a renal pelvis but run separately to the urinary bladder. Based on anatomical data obtained, renal excretory sectors may be distinguished by analogy to bronchopulmonary segments in lungs. These data about the renal excretory sectors will contribute to further improvement of the operative technique of renal partial resections as well as of the anatomical nomenclature.


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References

Бальтер, С. А. Основы клинической топометрии в онкологии. Москва, Медицина, 1986. 256 с.

Бурых, M. П.Топометрня чашечно-лоханочного почки человека.- Арх. анат., хистол. и эмбриол., 94, 1988, №3, 94-97.

Бурых, М. П. Стереотопометрия чашечно-лоханочного комплекса почки применительно к органосохраняющим операциям.- Арх. анат., хистол. и эмбриол., 94, 1988, № 4 , 69-74. 4.

Гомоюмов, К. К. О фундаментализации технического образования.- Вестн. Высшей школы, 1989, № 4 , 21-26.

Михайлов. С. С , Ш. Р. С а б и р о в . Сегментарное строение почек человека.- Арх. анат., хистол. и эмбриол., 70, 1976, № 4, 17-23

Привес, М. Г. Рентгенанатомия почечной лоханки.- Вестн. рентгенол. и радиол., 15, 1935, №2,140-148.

Пытель, Ю. А., В. В. Борисов, В. А. Симонов. Физиология человека. Мочевые пути.Москва, Высшая школа, 1992.

Balanger, С. Traitment par voies percutanees des tumours du haut appareill urinaire.- Ann. urol., 22, 1988, No 4, 282-286.

Benoit, С , C. Patriarche, V. Delmas, A. Jardin. Anatomie topographique des tiges calycielles. Le risque colique.- Ann. urol., 19, 1985, No3, 190-192. 19.

Chevrel, J . P . , J . P. Berberian, V . Delmas, J. Hureau. Essai de systematisation pyelo-calycielle. Application a la nephrectomie partielle.- Bull. Assoc. Anat., 65, 1981, No 190,253-261.

Eickenberg, H . - U . Percutane Nephrectomie. Technik und Lehrkunde.- Urologe (A), 24, 1985, No 5. 253-259.

Graves, F. T . Anatomical Studies for Renal and Intrarenal Surgery. Bristol, Wright, 1986, 78-83.

Kaye, K. W., M. E . Goldberg. Applied anatomy of the kidney and ureter.- Urol. Clin. North Am., 9, 1982, No 1, 3-13.

Korth, H. Grenzen der percutanen Steinchirurgie. Ergebnisse und neue Moglichkeiten des percutanen Zugangs zur Niere.- Urologe (A), 23, 1984, No 6, 302-307.

Koveschnikov, V. J . , Е. E . Kopteeva. On age morphology of the renal pelvis in connection with shape and ramification of renal vessels.- In: 5th Scientific Conference on Age Morphology, Physiology and Biochemistry. Moscow, 1962, 546-549.

Longren, F. Das topographische System der malpighischen Pyramiden der Menschenniere. Lund, Berlinska boktryckeri, 1949.

Nizankovski, C. Suggestion of new classification of the shape of human renal pelvis with consideration of the number of renal papillae.- Folia morphol. (Wars:), 4, 1978, 367-380.

Sigel, A . , H. Remschmidt. Neue Erkenntnisse iiber die Struktur des Beckenkelchsystems der Niere.- Urol. Int., 20, 1965, No 4, 222-235.

Sykes, D. The morphology of the renal lobulations and calyces, and their relationship to partial nephrectomy.- Brit. J. Surg., 5, 1964, No 4, 294-304.

Taylor, W. N . , W. H. Boyce. An anatomical basis for surgery of the renal papillae.- J. Urol., 128, 1982, N 5, 1052-1054.




DOI: http://dx.doi.org/10.14748/ssm.v34i0.2777

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M. P. Burykh

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