| The kidneys
are a pair or bean-shaped organs which are found in near the spine.
The kidney’s primary function is to filter blood to remove
wastes and toxins created by normal body activity. The kidneys also
have the important functions of water and mineral level regulation
in the body, control of the production of red blood cells by putting
hormones in the blood, and regulation of blood pressure.

In order to perform its functions, the kidney gets
a rich blood supply from the renal artery, and they filtered blood
leaves the kidney via the renal vein. As the kidney is a filter
system, it receives a very large blood supply. The high blood flow
to the kidney is one of the challenges of kidney surgery.
Anatomically, the kidneys are surrounded by a number
of structures. Located just above each kidney are the adrenal glands.
Additionally, the liver is located above the right kidney and the
spleen is located above the left kidney. Behind the kidneys are
the muscles of the back, and in front of the kidneys is the abdominal
cavity which holds bowel structures such as the intestines. Just
to the midline of the kidneys are large blood vessels that provide
each kidney with blood.
While most people have two functioning kidneys, only
one normal kidney is required for normal functioning. Indeed, it
is quite routine for family members to donate one of two normal
kidneys for transplant into a relative. The kidney donor can then
live a normal life without restrictions or limitations.
Each kidney is made up of approximately one million
small functioning units known as nephrons. Thus, when referring
to surgeries in which only part of a cancer ridden kidney is removed,
physicians use the term “nephron sparing surgery.” Open
and laparoscopic partial nephrectomy as well as kidney ablative
procedures (procedure that destroy the cancer without cutting it
out) are different types of nephron sparing procedures to treat
kidney cancer.
The kidneys filter the blood and produce urine. The
urine flows out of the kidney and into a tube called the ureter.
The ureter carries the urine from the kidney which is high in the
back down to the bladder where the urine collects.
The function of the kidney can be adversely affected
by many disease processes which can damage the kidney. High blood
pressure and diabetes are two diseases that over long periods of
time result in diminished kidney functioning. While the kidneys
may appear grossly normal, systemic diseases can often result in
poor overall kidney function.
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