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array:24 [ "pii" => "S0210480609740008" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74000-8" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74000" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:35-42" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3004 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 2044 "PDF" => 952 ] ] "itemSiguiente" => array:18 [ "pii" => "S021048060974001X" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74001-X" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74001" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:43-51" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1740 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 928 "PDF" => 804 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Prevalencia de síntomas del tracto urinario inferior relacionados con la hiperplasia benigna de próstata. 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Jiménez cruz" "autores" => array:8 [ 0 => array:2 [ "nombre" => "Sátur" "apellidos" => "Luján marco" ] 1 => array:2 [ "nombre" => "Vanessa" "apellidos" => "Bango garcía" ] 2 => array:2 [ "nombre" => "Salvador" "apellidos" => "Arlandis guzmán" ] 3 => array:2 [ "nombre" => "Carlos" "apellidos" => "Di capua sacoto" ] 4 => array:2 [ "nombre" => "Pilar" "apellidos" => "Bahílo mateu" ] 5 => array:2 [ "nombre" => "Marta" "apellidos" => "Trassierra villa" ] 6 => array:2 [ "nombre" => "Miguel" "apellidos" => "Ramírez backhaus" ] 7 => array:2 [ "nombre" => "Juan F." "apellidos" => "Jiménez cruz" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609739993?idApp=UINPBA00004N" "url" => "/02104806/0000003300000001/v1_201304251919/S0210480609739993/v1_201304251919/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Ablación del cáncer renal por radiofrecuencia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "35" "paginaFinal" => "42" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Javier Estébanez zarranz, Enrique Artozki morras, Lore Aguirreazaldegui garcía, Itziar Crespo crespo, Francisco Bandrés iruretagoyena, Juan Pablo sanz jaka" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Javier" "apellidos" => "Estébanez zarranz" "email" => array:1 [ 0 => "javier99@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Enrique" "apellidos" => "Artozki morras" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Lore" "apellidos" => "Aguirreazaldegui garcía" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Itziar" "apellidos" => "Crespo crespo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Francisco" "apellidos" => "Bandrés iruretagoyena" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "Juan" "apellidos" => "Pablo sanz jaka" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Urología. Hospital Donostia. San Sebastián" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Javier Estébanez Zarranz Servicio de Urología. Hospital Donostia Paseo Dr. Beguiristain, s/n - 20014 San Sebastián. Donostia Tel.: 943 007 000" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Radiofrequency ablation of renal cell carcinoma" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-09-01" "fechaAceptado" => "2008-10-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88775" "palabras" => array:3 [ 0 => "Ablación" 1 => "Radiofrecuencia" 2 => "Cáncer Renal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88776" "palabras" => array:2 [ 0 => "Radiofrequency ablation" 1 => "Renal cell carcinoma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El tratamiento estándar de las masas renales de pequeño tamaño es la nefrectomía parcial, que ha demostrado unos resultados oncológicos semejantes a la nefrectomía radical. Recientemente se han desarrollado técnicas de ablación como la radiofrecuencia y la crioterapia, con el fin de minimizar los efectos secundarios de la resección quirúrgica convencional. En este artículo, revisamos la técnica de ablación mediante radiofrecuencia.</p> <span class="elsevierStyleSectionTitle">Material y Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Para esta revisión se ha utilizado la base de datos Medline introduciendo los términos “renal radiofrequency ablation”.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se analizan los diferentes sistemas que existen en el mercado para la aplicación de radiofrecuencia. Se describen las técnicas de aplicación (abierta, laparoscópica y percutánea), observando una tendencia clara a la aplicación de forma percutánea. En los estudios clínicos publicados existen ya series de pacientes con seguimientos a medio plazo (3 años) en los que se demuestra unos resultados oncológicos semejantes a los de las técnicas de resección clásicas y con un índice de complicaciones menor.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La ablación de tumores renales con radiofrecuencia ha demostrado ser un tratamiento eficaz y con mínimas complicaciones. Sin embargo, hasta que no existan seguimientos a largo plazo, se debe utilizar únicamente en pacientes seleccionados</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The standard treatment of small renal masses is partial nephrectomy, which has showed similar oncologic results when compared with radical nephrectomy. Recently, ablative techniques, including radiofrequency and cryotherapy ablation, has been developed, with the purpose of minimizing adverse effects of standard surgical excision. In this article we review the technique of radiofrequency ablation.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">For this review we conducted a search in the Medline database using the terms “renal radiofrequency ablation”.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The different currently marketed systems for the delivery of radiofrequency energy are examined. The different techniques of delivery (open, laparoscopic and percutaneous) are described; we observe a trend towards the use of the percutaneous method. Among the published clinical studies there are series of patients with midterm follow-up (3 years) that show oncologic outcomes similar to traditional resection techniques, with fewer complications.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Renal tumor radiofrequency ablation has proved an effective therapy with minimal complications. However, it should be used only in selected patients until longer follow-up studies are available.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:45 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Renal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P. Godley" 1 => "S.W. Kim" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Curr Opin Oncol" "fecha" => "2002" "volumen" => "14" "numero" => "3" "paginaInicial" => "280" "paginaFinal" => "285" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11981272" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rising incidence of renal cell cancer in the United States" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "W.H. Chow" 1 => "S.S. Devesa" 2 => "J.L. Warren" 3 => "J.F. 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Pascual" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Actas Urol Esp" "fecha" => "2001" "volumen" => "25" "numero" => "4" "paginaInicial" => "278" "paginaFinal" => "282" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11455829" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nephron-sparing surgery for cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A.C. Novick" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1146/annurev.med.53.082901.103937" "Revista" => array:6 [ "tituloSerie" => "Annu Rev Med" "fecha" => "2002" "volumen" => "53" "paginaInicial" => "393" "paginaFinal" => "407" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11818482" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Laparoscopic partial nephrectomy: 3-year follow-up" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Moinzadeh" 1 => "I.S. Gill" 2 => "A. Finelli" 3 => "J. Kaouk" 4 => "M. 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Resnick" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.urology.2005.06.127" "Revista" => array:7 [ "tituloSerie" => "Urology" "fecha" => "2005" "volumen" => "66" "numero" => "5" "paginaInicial" => "15" "paginaFinal" => "22" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16194702" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Percutaneous radiofrequency ablation of renal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D.A. Gervais" 1 => "R.S. Arellano" 2 => "P.R. Mueller" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Radiol" "fecha" => "2005" "volumen" => "1" "numero" => "5" "paginaInicial" => "960" "paginaFinal" => "967" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Radiofrequency ablation: In vivo comparison of four commercially available devices in pig livers" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P.L. Pereira" 1 => "J. Trübenbach" 2 => "M. Schenk" 3 => "J. Subke" 4 => "S. Kroeber" 5 => "I. 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