Classifying Renal Pyelocaliceal System: A Complete Literature Overview of All Existing Classification Approaches.

IF 2.9 2区 医学 Q1 UROLOGY & NEPHROLOGY
Ali Talyshinskii, Patrick Juliebø-Jones, B M Zeeshan Hameed, Lazaros Tzelves, Amelia Pietropaolo, Bhaskar Kumar Somani
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引用次数: 0

Abstract

Introduction: Our comprehension of the actual diversity of kidney pyelocaliceal system (PCS) is lacking and many crucial features have been overlooked in the existing literature on this subject. The purpose of this review is to provide a concise summary of the current understanding of the structure of the pelvicalyceal system, considering both anatomical and surgical perspectives, as well as to highlight any limitations or inconsistencies in these approaches. Material and Methods: A full review of all the literature on the anatomical and surgical methods used to classify pelvicalyceal system was conducted in several databases in August 2024. This included all the articles that talked about classifications for the whole pelvicalyceal system, minor calyces, and morphometric measurements within the pelvicalyceal system. Results: Despite over a century of studying this anatomical zone and numerous approaches, some classifications still rely on pelvic branching or the division site related to the renal sinus. However, no single classification has incorporated both aspects. In addition, despite the consensus regarding the number of minor calyces, there are many approaches to determining their orientation. Finally, researchers have described a sufficient number of morphometric measurements within the pelvicalyceal system, considering their prognostic value before endourological interventions and their correlation with individual patterns of the structure of pelvicalyceal system. However, these measurements often lead to contradictions in interpreting the anatomical favorability of the same pelvicalyceal system using different approaches. Conclusion: Despite the numerous approaches to identify pelvicalyceal system from both morphological and surgical perspectives, there are significant gaps in our understanding of the real anatomy of the renal cavity that, even after more than a century, remain unanswered. There needs to be more correlation of anatomy with modern minimally invasive clinical interventions for stone disease.

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来源期刊
Journal of endourology
Journal of endourology 医学-泌尿学与肾脏学
CiteScore
5.50
自引率
14.80%
发文量
254
审稿时长
1 months
期刊介绍: Journal of Endourology, JE Case Reports, and Videourology are the leading peer-reviewed journal, case reports publication, and innovative videojournal companion covering all aspects of minimally invasive urology research, applications, and clinical outcomes. The leading journal of minimally invasive urology for over 30 years, Journal of Endourology is the essential publication for practicing surgeons who want to keep up with the latest surgical technologies in endoscopic, laparoscopic, robotic, and image-guided procedures as they apply to benign and malignant diseases of the genitourinary tract. This flagship journal includes the companion videojournal Videourology™ with every subscription. While Journal of Endourology remains focused on publishing rigorously peer reviewed articles, Videourology accepts original videos containing material that has not been reported elsewhere, except in the form of an abstract or a conference presentation. Journal of Endourology coverage includes: The latest laparoscopic, robotic, endoscopic, and image-guided techniques for treating both benign and malignant conditions Pioneering research articles Controversial cases in endourology Techniques in endourology with accompanying videos Reviews and epochs in endourology Endourology survey section of endourology relevant manuscripts published in other journals.
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