2023 Volume 36 Issue 1 Pages 118-123
In laparoscopic nephrectomy, Gerota fascia can be easily recognized as a membranous structure by the transabdominal approach, but it is difficult to recognize it as a membrane-like structure by the retroperitoneal approach, and in many cases, its existence itself can be not found. In this study, kidneys and perirenal organs were removed from a cadaver in one lump, and specimens were prepared without dissection of Gerota fascia, and histological examination was conducted. The results suggest that Gerota fascia is a sparse connective fabric of collagen fibers that differs significantly from a tough membrane such as the epimysium. Fascia can be classified according to the type, quantity, density, and arrangement of the substrate, cells, and collagen fibers and shows a variety of phenotypes depending on its use. Thus, the appearance of membranous structures of Gerota fascia could be due to the changes in the connective tissue possibly caused by the exfoliation process, therefore the morphology of the fascia appears differently depending on the direction of the approach to the connective tissue.
