Coordinate anatomy of kidney in ontogenesis: organometric characteristics at young age

Abstract

Research in the field of renal clinical and individual anatomic variability of the renal portal has recently became crucial in connection with the implementation of minimally invasive organopreserving techniques and current methods of pre-surgical imaging of kidneys into nephrology and urology therapy. Endoscopic interventions on kidneys have led to significant decrease in the frequency of postoperative complications and reduce in duration of the postoperative period. In addition, the organopreserving surgical interventions on kidneys remain the subject of choice in surgical treatment of squamous cell carcinoma in patients with only one kidney, as well as in the case of apparent contralateral or bilateral renal lesions. In this way individual studies have proved that oncospecific five-year survival rate accounts for 100% after organopreserving operations on kidneys and 97,3% in case of radical nephrectomy. The anatomic basis for the development of surgical interventions, including the cases of organopreserving operations, is the idea about anatomical variability and patterns of the kidney structure, particularly, the shape and location of the renal portal. Follow-up research will encompass the study of renal organometric characteristics and morphometric parameters of human renal portal in other ontogenetic groups.