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array:23 [ "pii" => "S0210480608739767" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73976-7" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73976" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2008" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:985-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1211 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 824 "PDF" => 380 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480608739779" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73977-9" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73977" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:989-94" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1330 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 930 "PDF" => 394 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Transplante renal de donante vivo: un análisis crítico de estrategias quirúrgicas basado en 40 años de experiencia" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "989" "paginaFinal" => "994" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Renal transplantation with living donors. a critical analysis of surgical procedures based on 40 years of experience" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Vela Navarrete, J.L. Rodríguez Miñón Cifuentes, J. Calahorra Fernández, C. González Enguita, J. Cabrera, J.V. García Cardoso, I. Castillon Vela, J.J. Plaza" "autores" => array:8 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Vela Navarrete" ] 1 => array:2 [ "nombre" => "J.L." "apellidos" => "Rodríguez Miñón Cifuentes" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Calahorra Fernández" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "González Enguita" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Cabrera" ] 5 => array:2 [ "nombre" => "J.V." "apellidos" => "García Cardoso" ] 6 => array:2 [ "nombre" => "I." "apellidos" => "Castillon Vela" ] 7 => array:2 [ "nombre" => "J.J." "apellidos" => "Plaza" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739779?idApp=UINPBA00004N" "url" => "/02104806/0000003200000010/v1_201304251917/S0210480608739779/v1_201304251917/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480608739755" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73975-5" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73975" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:976-84" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1188 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 703 "PDF" => 480 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Características clínico-patológicas del carcinoma de células renales detectado incidentalmente mediante estudios radiológicos" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "976" "paginaFinal" => "984" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Clinicopathologic features of renal cell carcinoma incidentally detected through radiological studies" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "V. Bulnes Vázquez, M. Álvarez-Múgica, J.M. Fernández Gómez, E. Nava Tomás, A. Jalón Monzón, Á. Meilán Martínez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Bulnes Vázquez" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Álvarez-Múgica" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Fernández Gómez" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Nava Tomás" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Jalón Monzón" ] 5 => array:2 [ "nombre" => "Á." "apellidos" => "Meilán Martínez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739755?idApp=UINPBA00004N" "url" => "/02104806/0000003200000010/v1_201304251917/S0210480608739755/v1_201304251917/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Ablación por radiofrecuencia de lesiones renales: experiencia inicial en un centro de referencia en la ciudad de México (INNSZ)" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "985" "paginaFinal" => "988" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "L.G. Vázquez-Lavista, C.H. Flores-Balcazar, C.E. Méndez-Probst, B. Gabilondo-Pliego, M. Sotomayor-de-Zavaleta, G. Feria-Bernal, T. Cabrera-Aleksandrova" "autores" => array:7 [ 0 => array:4 [ "nombre" => "L.G." "apellidos" => "Vázquez-Lavista" "email" => array:1 [ 0 => "lugavala@yahoo.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "C.H." "apellidos" => "Flores-Balcazar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "C.E." "apellidos" => "Méndez-Probst" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "B." "apellidos" => "Gabilondo-Pliego" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "M." "apellidos" => "Sotomayor-de-Zavaleta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "G." "apellidos" => "Feria-Bernal" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 6 => array:3 [ "nombre" => "T." "apellidos" => "Cabrera-Aleksandrova" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Departamento de Urología" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Radiología Intervencionista" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Departamento de Oncología. Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. México" "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. L.G. Vázquez Lavista Departamento de Urología Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Vasco de Quiroga 15. Tlalpan. 14000, México, D.F" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Radiofrequency ablation of renal lesions: initial experience in a center of reference in mexico city (innsz)" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-03-01" "fechaAceptado" => "2007-12-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88756" "palabras" => array:3 [ 0 => "Ablación por radiofrecuencia" 1 => "Cáncer renal" 2 => "Lesiones renales incidentales" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88755" "palabras" => array:3 [ 0 => "Radiofrequency ablation" 1 => "Renal cancer" 2 => "Incidental renal masses" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción y objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La incidencia de los tumores renales ha aumentado, debido con mucho, a los avances de la tecnología, pero el estadio al momento del diagnóstico ha disminuido. En pacientes seleccionados puede realizarse nefrectomía parcial (o ahorradora de nefronas). Hay pacientes que tienen co-morbilidades importantes que no son candidatos a tratamiento quirúrgico; para ellos hay modalidades nuevas de mínima invasión que utilizan diferentes tipos de energía para realizar ablación del tejido neoplásico, una de éstas es la ablación por radiofrecuencia. Este artículo reporta la experiencia inicial con esta modalidad terapéutica en un centro de referencia de la ciudad de México.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cuatro pacientes con 5 lesiones renales menores a 3 cm, con comorbilidades importantes que los excluían de posibilidad quirúrgica, se sometieron a ablación por radiofrecuencia bajo guía fluoroscópica.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">cinco lesiones renales en cuatro pacientes sometidos a ablación por radiofrecuencia en un periodo de 18 meses. No se presentaron complicaciones importantes durante el procedimiento, el seguimiento promedio de 12 meses y mantienen buen control oncológico.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La ablación por radiofrecuencia es una opción terapéutica segura y reproducible para pacientes con lesiones renales incidentales menores a 3 cm. Se requiere de más tiempo para comparar el control oncológico con el estándar de oro, la cirugía.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction and objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">With the advances of technology, the incidence of renal cancer has increased, but the stage at the time of diagnosis has decreased. In selected patients nephron sparing surgery can be made but there are patients who have important comorbidities and therefore they are not candidates to surgical management. For them, there are new minimally invasive procedures that use different types of energy to perform ablation of the neoplastic tissue; one of which is radiofrequency ablation. This article reports the initial experience with this therapeutic modality in a reference center of Mexico City.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Four patients with 5 renal masses of 3 cm or less, and with insignificant comorbidities that exclude the possibility of surgery, underwent radiofrequency ablation under fluoroscopic guidance.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Five renal tumors in four patients were treated with radiofrequency ablation in a period of 18 months. No major complication during the procedure was reported, mean follow- up was of 12 months and they keep a good oncologic control.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Radiofrequency ablation is a safe and reproducible therapeutic option for patients with incidental renal masses below 3 cm. We need more follow up to compare oncologic control with the gold standard, surgery.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 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 => "H.T. Cohen" 1 => "F.J. 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