肾收集系统解剖学应用于内窥镜 - 综述。

IF 3.1 3区 医学 Q1 UROLOGY & NEPHROLOGY
Ana Raquel M Morais, Luciano A Favorito, Francisco J B Sampaio
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引用次数: 0

摘要

目的通过文献综述评估肾集合系统的外科解剖学,强调其在诊断中的重要性以及在治疗肾结石的外科手术中的方法:我们对肾集合系统的解剖结构进行了综述。我们分析了Pubmed、Embase和Scielo数据库中过去40年发表的论文,只收录了英文论文,排除了病例报告、社论和专家意见:肾收集系统可分为四组:A1--肾中区(KM),由依附于上肾盏组或下肾盏组的小肾萼引流;A2--肾中区由交叉肾萼引流,一个肾萼引流至上肾盏组,另一个肾萼引流至下肾盏组;B1--肾中区由独立于上肾盏组和下肾盏组的大肾萼引流;B2--肾中区由直接进入肾盂的小肾萼引流。集尿系统的一些细节和解剖变异与临床和放射学方面有关,特别是垂直肾盏、肾盏间隙、肾盏与肾边界的位置、肾集尿系统分类、肾下盏直径以及肾下盏与肾盂之间的角度:结论:了解肾集合系统内部的划分和变化,如肾盂和下肾底之间的角度、肾盏与肾边缘的位置关系以及肾盏的直径和位置,对于制定微创肾脏手术计划非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Kidney collecting system anatomy applied to endourology - a narrative review.

Objective: To evaluate the surgical anatomy of the kidney collecting system through a narrative review of the literature, highlighting its importance during diagnosis and its approach during surgical procedures for the treatment of renal stones.

Material and methods: We carried out a review about the anatomy of the kidney collecting system. We analyzed papers published in the past 40 years in the databases Pubmed, Embase and Scielo, and we included only papers in English and excluded case reports, editorials and opinions of specialists.

Results: Renal collecting system could be divided in four groups: A1 - kidney midzone (KM), drained by minor calyx that are dependent on the superior or the inferior caliceal groups; A2 - KM drained by crossed calyx, one draining into the superior caliceal group and another draining into the inferior caliceal group; B1 - KM drained by a major caliceal group independent of both the superior and inferior groups; and B2 - KM drained by minor calyx entering directly into the renal pelvis. Some details and anatomic variations of the collecting system are related to clinical and radiological aspects, particularly perpendicular calyces, interpyelocalyx space, position of calyces in relation to renal border, classification of the renal collecting system, infundibular diameter and the angle between the lower infundibulum and renal pelvis.

Conclusion: The knowledge of intra-renal collecting system divisions and variations as the angle between the renal pelvis and lower infundibula, position of the calices in relationship with renal edge and the diameter and position of the calyces are important for the planning of minimally invasive renal surgeries.

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来源期刊
International Braz J Urol
International Braz J Urol UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
21.60%
发文量
246
审稿时长
6-12 weeks
期刊介绍: Information not localized
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