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Study and Clinical Application of the Anatomy of Renal Pedicles in Retroperitoneoscopic Nephrectomy

2013; Chilean Society of Anatomy; Volume: 31; Issue: 4 Linguagem: Inglês

10.4067/s0717-95022013000400001

0717-9502

Nan Zhang, Zhongjie Shan, Qianhe Han, Kun Chen, Liang Guo,

Renal and Vascular Pathologies

This work aims to investigate the anatomical basis and clinical application value of renal pedicle locating in retroperitoneoscopic nephrectomy.To summarize the anatomical basis of renal pedicle locating through retrospective analysis of 278 cases of retroperitoneoscopic nephrectomy from July 2007 to September 2009, during which renal pedicle was located at about 2-4 cm below the medial arcuate ligament of the diaphragm in the space between the psoas major muscle and inferior vena cava (abdominal aorta) in the anatomical level of space before psoas.The operation of 278 patients was all successfully completed, where renal pedicle was quickly found.It took 3.5±1.3min to locate the renal pedicle, and 95.6±23.8min to operate.In retroperitoneoscopic nephrectomy, it is most preferable to locate renal pedicle in the space before psoas.The renal pedicle is located exactly at about 2-4 cm below the medial arcuate ligament of the diaphragm in the space between the psoas major muscle and inferior vena cava (abdominal aorta).The time for locating the renal pedicle can be shortened if the surgeon is familiar with the anatomic features of renal pedicle in retroperitoneoscopy, thereby saving the operation time.