Urogenital Research Unit, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Department of Morphology, Fluminense Federal University, Rio de Janeiro, Brazil.
Anat Rec (Hoboken). 2021 Jun;304(6):1266-1274. doi: 10.1002/ar.24552. Epub 2020 Nov 6.
Previous studies have shown that the pig kidney is not a good model for some procedures. This study aimed to describe the relationship between the collecting system and the intrarenal arteries, the arterial segments, and to evaluate the bovine kidney as an experimental model for partial nephrectomy of the cranial pole. Polyester resin endocasts of the kidney collecting system together with the intrarenal arteries were prepared. Thirty-two kidneys were used to evaluate the relationship between the collecting system and the intrarenal arteries, while 25 kidneys were transversally sectioned at different points to simulate partial nephrectomy of the cranial pole. Polyester resin of different colors was injected into each segmental artery of the 24 kidneys to evaluate the arterial segments proportionally. The renal artery was divided into cranial and caudal primary branches in 75% of the cases. The cranioventral branch curved on the cranial pole and ran toward the ventral mid-zone in 56.3% of the cases, resembling the retropelvic artery of the human kidney. The kidney was divided into two (25%) or three (75%) arterial segments. The caudal arterial segment had the highest proportional volume (62%). The cranioventral branch was damaged in 28.6% of the kidneys sectioned 1 cm inside the hilum. The arterial branching pattern, the arterial segmentation, and the impairment of the arterial supply after the simulated partial nephrectomy of the cranial pole are quite different from those found in humans. Thus, all differences should be taken into account when using the bovine kidney as a model.
先前的研究表明,猪的肾脏并不是某些手术的理想模型。本研究旨在描述肾脏集合系统与肾内动脉、动脉节段之间的关系,并评估牛肾作为肾头极部分切除术的实验模型。制备了肾脏集合系统的聚酯树脂内铸模型和肾内动脉。使用 32 个肾脏评估集合系统与肾内动脉之间的关系,同时对 25 个肾脏在不同部位进行横切以模拟肾头极部分切除术。将不同颜色的聚酯树脂注入 24 个肾脏的每个节段动脉中,以评估动脉节段的比例。在 75%的情况下,肾动脉分为颅侧和尾侧初级分支。在 56.3%的情况下,颅前支在肾头上弯曲并向腹侧中区运行,类似于人肾的肾盂后动脉。肾脏可分为两个(25%)或三个(75%)动脉节段。尾侧动脉节段的比例最高(62%)。在靠近肾门处 1cm 处横切的 28.6%的肾脏中,损伤了颅前支。与在人类中发现的情况相比,动脉分支模式、动脉节段和模拟肾头极部分切除术后的动脉供应损伤有很大的不同。因此,在使用牛肾作为模型时,应考虑到所有差异。