25Mar 2019

A STUDY OF HUMAN RENAL PELVICALYCEAL SYSTEM IN RELATION TO THE BRANCHES OF RENAL ARTERIES.

  • Department of Anatomy, GMC Kozhikode.
Crossref Cited-by Linking logo

  • Abstract
  • References
  • Cite This Article as
  • Corresponding Author

Introduction: A thorough anatomical knowledge on the patterns of pelvicalyceal system and its relation to the renal segmental arteries is of paramount importance in endourological procedures. Aim: To study the variations in the pattern of arrangement of major calices, segmental arteries and their relation to each other. Method: 100 dissection specimens (70 adult, 30 foetuses) and 50 endocasts were studied at a tertiary center in northern Kerala. Results: The major calyces were arranged in three patterns, tricaliceal (Adults- 44.17%; Foetus-30%), bicaliceal (Adults- 24.17%; Foetus-26.67%), multicaliceal (Adults- 25.83%; Foetus- 40%) and rest belonging to none of the above. The primary division of renal artery (RA) was anterior-posterior (92%) and upper-lower (8%). Anterior division showed a preponderance of type (TY) 2 among the 8 types. Apical segmental artery (SA) was divided into 6 types, with 50% showing TY1 pattern. 62% showed TY1 of upper SA (among 3 types) and 84% of TY1 of lower SA (total-4 types). Middle SA showed 54% TY1 among 4 types. Posterior SA divided in magistral (62%), bifurcating (30%), cruciate (8%) patterns. Superior calyces were related to anterior and posterior branches in 88%, anterior alone in 10% and posterior alone in 2%; mid-zone to anterior division only; inferior pole to branches of lower SA. Dorsal kidney was related to posterior SA which was related to upper infundibulum (60%) or crossed middle posterior surface of pelvis (40%). Conclusion: Numerous variations in patterns of calyces, SAs and their relation to each other were observed, which could not be discerned from studying the external surface of the kidney. This emphasizes the importance of pre-operative angiography and IVU prior to any endourological intervention.

  1. MuhammedShahbazHanif, Mubashar Husain Toori, Masood Ahmed Sheikh, Detailed calyceal anatomy for endourology, Pakistan J. Med. Res, 2004
  2. David Sykes. The morphology of renal lobulations and calyces, and their relationship to partial nephrectomy. Brit. J. Surg., 1964, Vol. 51, No. 4, April.
  3. Longia GS, Kumar V, Gupta CDIntrarenal arterial pattern of human kidney--corrosion cast study. 1984; 155(1-5):183-94.
  4. EcaterinaDăescu, Delia Elena Zăhoi, A. Motoc, Aurora Alexa, FlaviaBaderca, AlexandraEnache, Morphological variability of the renal artery branching pattern: a brief review and an anatomical study, Rom J MorpholEmbryol2012, 53(2):287?291
  5. Weld KJ, Bhayani SB, Belani J, Ames CD, Hruby G, Landman J, Extrarenal vascular anatomy of kidney:assessment of variations and their relevance to partialnephrectomy, Urology, 2005, 66(5):985?989.
  6. Kaye, K.W., Goldberg, M.E. applied Anatomy of the kidney and ureter. UrolClin North Am 1982; 9:3-13
  7. J. B. Sampaio& A. H. M. Aragao, anatomical relationship between the intrarenal arteries and the kidney collecting system; the J. Of Urology; 1989; 143:679-681.
  8. P. De Clerck, L.S.D. Microwave polymerization of acrylic resins used in dental prostheses; J of Prosth Dentistry; 1987, 57(5):650-658.
  9. Ningthoujam DD, Chongtham RD &Sinam SS; Pelvi-Calyceal System in Foetal and Adult Human Kidneys. J. Anat. Soc. India 54 (1) 1-11 (2005)
  10. Rizk ES, El-Galley and Keane TE. Embryology, anatomy, and surgical applications of the kidney and ureter. SurgAnat and Embryo. 2000; 80(1): 381-387.
  11. Khamanarong K, Prachaney P, Utaravichien A, Tong-Un T, Sripaoraya K. Anatomy of renal arterial supply. ClinAnat 2004 May; 17(4): 334-336.
  12. T Graves, 1954, the anatomy of the intrarenal arteries and its application to segmental resection of the kidney; British J of Surgery; 42, 132-139
  13. Graves F. T; the aberrant renal artery. J. Anat. 1956b;90: 553-558
 

[Sama Abdulkadar and Arivu Selvan. (2019); A STUDY OF HUMAN RENAL PELVICALYCEAL SYSTEM IN RELATION TO THE BRANCHES OF RENAL ARTERIES. Int. J. of Adv. Res. 7 (Mar). 1038-1046] (ISSN 2320-5407). www.journalijar.com

Dr Sama Abdulkadar
Department of Anatomy, GMC Kozhikode.

DOI:

Article DOI: 10.21474/IJAR01/8734      
DOI URL: https://dx.doi.org/10.21474/IJAR01/8734

Download Full Paper

Download PDF No. of Downloads: 14 | No. of Views: 59