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array:24 [ "pii" => "S0210480609742123" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74212-3" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74212" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:703-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1968 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 902 "PDF" => 1058 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609742135" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74213-5" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74213" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:706-11" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1843 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 997 "PDF" => 839 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Reconstrucción vésico-ureteral completa con íleon en un caso de tuberculosis genitourinaria" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "706" "paginaFinal" => "711" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Complete vesico-ureteral reconstruction with ileum in a case of genitourinary tuberculosis" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Raquel González Resina, Belén Congregado Ruiz, Rafael A. Medina López, Francisco J. Torrubia Romero" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Raquel" "apellidos" => "González Resina" ] 1 => array:2 [ "nombre" => "Belén" "apellidos" => "Congregado Ruiz" ] 2 => array:2 [ "nombre" => "Rafael A." "apellidos" => "Medina López" ] 3 => array:2 [ "nombre" => "Francisco J." "apellidos" => "Torrubia Romero" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742135?idApp=UINPBA00004N" "url" => "/02104806/0000003300000006/v1_201304251934/S0210480609742135/v1_201304251934/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609742111" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74211-1" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74211" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:700-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2003 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 1000 "PDF" => 997 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Desarrollo de cálculo vesical tras procedimiento de colocación de malla TVT: A propósito de un caso" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "700" "paginaFinal" => "702" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Development of bladder stone following a Tension-free Vaginal Tape procedure: Acase report" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Egoitz Tolosa Eizaguirre, Aníbal Rincón Mayans, Jorge Rioja Zuazu, Juan J. Zudair Beergera, Javier Barba Abad, José Mª Berián Polo" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Egoitz Tolosa" "apellidos" => "Eizaguirre" ] 1 => array:2 [ "nombre" => "Aníbal Rincón" "apellidos" => "Mayans" ] 2 => array:2 [ "nombre" => "Jorge Rioja" "apellidos" => "Zuazu" ] 3 => array:2 [ "nombre" => "Juan J." "apellidos" => "Zudair Beergera" ] 4 => array:2 [ "nombre" => "Javier Barba" "apellidos" => "Abad" ] 5 => array:2 [ "nombre" => "José Mª" "apellidos" => "Berián Polo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742111?idApp=UINPBA00004N" "url" => "/02104806/0000003300000006/v1_201304251934/S0210480609742111/v1_201304251934/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Ascitis quilosa después de nefrectomía radical laparoscópica. Tratamiento conservador sin paracentesis" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "703" "paginaFinal" => "705" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Luis A. Fariña, María Concepción Martínez" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Luis A." "apellidos" => "Fariña" "email" => array:1 [ 0 => "luisfarina@yahoo.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "María" "apellidos" => "Concepción Martínez" ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicios de Urología y Radiología. Hospital Povisa. Vigo, Pontevedra, España" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Luis A. Fariña Pérez Servicio de Urologia. Hospital Povisa Salamanca, 5, 36211 Vigo, Pontevedra Tel.: 986 413 144" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Chylous ascites following radical nephrectomy. Conservative Management whithout paracentese" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-10-01" "fechaAceptado" => "2007-11-01" "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec89013" "palabras" => array:3 [ 0 => "Ascitis quilosa" 1 => "Laparoscopia" 2 => "Cáncer renal" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La ascitis quilosa es una complicación rara después de diferentes intervenciones abdominales y retroperitoneales. Aunque suele desaparecer con medidas conservadoras, puede ser necesaria una reintervención para sellar los vasos linfáticos que permanecen abiertos en el lecho operatorio.</p> <span class="elsevierStyleSectionTitle">Caso clínico</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Una mujer de 60 años fue intervenida de nefrectomia radical laparoscópica izquierda de un tumor de 9,5 x 7,5 cm, estadio pT2 pN0. En la intervención se hizo una disección cuidadosa del hilio, se ligaron o coagularon algunos gruesos vasos linfáticos peritumorales y se clipó el uréter distal. Unos dias después del alta, consulta por aumento del perimetro abdominal y en los estudios de imagen se encuentra ascitis quilosa difusa. Fue tratada de manera conservadora, sin realizar paracentesis diagnóstica o evacuadora, con dieta baja en sal y lípidos, y espironolactona, con curación completa en el plazo de un mes.</p> <span class="elsevierStyleSectionTitle">Comentario</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Un tratamiento conservador con diuréticos, dieta baja en lípidos y eventualmente con paracentesis debe ser la primera opción de tratamiento de las ascitis quilosa después de nefrectomia. En los últimos años se han descrito técnicas laparoscópicas para resolver una ascitis quilosa de forma poco invasiva, aunque no exenta de dificultad, tratándose de una re-intervención.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Chylous ascites is a rare complication after a number of abdominal and retroperitoneal surgeries. Althought conservative treatment may be curative, a reoperation to sell out the open megalymphatics in the operative field may be needed.</p> <span class="elsevierStyleSectionTitle">Patient and method</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A 60 year-old woman was treated with a laparoscopic radical nephrectomy for a 9.5x7.5 cm, pT2 pN0 tumor. A carefull dissection of the renal hilium was performed, distal ureter was clipped and several gross peritumoral lymphatic vessels were clipped or coagulated, with no inmediate complications. Several days after being discharged home, she complained of increased abdominal perimeter and on image studies a difuse chylous ascitis was found. She was treated in a conservative way, with no diagnostic or palliative paracentesis, low salt and lipids diet, and espironolactone, with complete cure in a month. After six months of follow-up, no simptoms nor CT- signs of ascites or tumor recurred.</p> <span class="elsevierStyleSectionTitle">Comment</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A conservative treatment, with diuretics, low lipids and salt diet, and eventually repeated paracentesis should be the first options for chylous ascites after nephrectomy. In the last years, several laparoscopic techniques had been described to treat chylous ascites in a low invasive way, but the intrinsic difficulties of such a re-operation much be considered.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Linforragia postlinfadenectomia por adenocarcinoma renal" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "W.A. Isa Kroon" 1 => "P. Sánchez de la Muela" 2 => "A. Ucar Terren" 3 => "J.E. Robles García" 4 => "J.J. Zudaire Bergera" 5 => "J.M. Berián Polo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Actas Urol Esp" "fecha" => "1988" "volumen" => "12" "numero" => "4" "paginaInicial" => "371" "paginaFinal" => "373" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3189031" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ascitis quilosa como complicación de una linfadenectomia retroperitoneal" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "D. Santos" 1 => "A. Páez" 2 => "M.P. Valer" 3 => "M. Luján" 4 => "C. Pascual" 5 => "A. Berenguer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Gastroenterol Hepatol" "fecha" => "2004" "volumen" => "27" "paginaInicial" => "150" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14998466" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Two cases of chyloretroperitoneum following retroperitoneoscopic nephroureterectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H. Negoro" 1 => "H. Oka" 2 => "M. Kawakita" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1442-2042.2006.01427.x" "Revista" => array:7 [ "tituloSerie" => "Int J Urol" "fecha" => "2006" "volumen" => "13" "numero" => "4" "paginaInicial" => "487" "paginaFinal" => "489" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16734885" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chylous ascites after post-chemotherapy retroperitoneal lymph node dissection: review of the M. D. Anderson experience" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.G. Evans" 1 => "P.E. Spiess" 2 => "A.M. Kamat" 3 => "C.G. Wood" 4 => "M. Hernandez" 5 => "C.A. Pettaway" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.juro.2006.06.016" "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "2006" "volumen" => "176" "numero" => "4 Pt 1" "paginaInicial" => "1463" "paginaFinal" => "1467" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16952661" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The diagnosis and management of postoperative chylous ascites" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "I. Leibovitch" 1 => "Y. Mor" 2 => "J. Golomb" 3 => "J. Ramon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "2002" "volumen" => "167" "numero" => "2 Pt 1" "paginaInicial" => "449" "paginaFinal" => "457" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11792897" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chyloretroperitoneum with secondary chylothorax after retroperitoneoscopic donor nephrectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Bachmann" 1 => "R. Ruszat" 2 => "M. Dickenmann" 3 => "O. Giannini" 4 => "M. Mayr" 5 => "J. Steiger" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.urology.2005.04.005" "Revista" => array:6 [ "tituloSerie" => "Urology" "fecha" => "2005" "volumen" => "66" "numero" => "4" "paginaInicial" => "881" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16230172" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chylous ascites as a complication of laparoscopic donor nephrectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Y. Caumartin" 1 => "F. Pouliot" 2 => "R. Sabbagh" 3 => "T. Dujardin" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1432-2277.2005.00219.x" "Revista" => array:7 [ "tituloSerie" => "Transpl Int" "fecha" => "2005" "volumen" => "18" "numero" => "12" "paginaInicial" => "1378" "paginaFinal" => "1381" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16297058" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Laparoscopic management of chylous ascites after donor nephrectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "W.R. Molina" 1 => "M.M. Desai" 2 => "I.S. Gill" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/01.ju.0000091660.15018.66" "Revista" => array:6 [ "tituloSerie" => "J Urol" "fecha" => "2003" "volumen" => "170" "numero" => "5" "paginaInicial" => "1938" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14532813" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chylous ascites secondary to laparoscopic donor nephrectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.F. Shafizadeh" 1 => "P.P. Daily" 2 => "P. Baliga" 3 => "J. Rogers" 4 => "G.M. Baillie" 5 => "P.R. Rajagopolan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Urology" "fecha" => "2002" "volumen" => "60" "numero" => "2" "paginaInicial" => "345" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12137850" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0873215911001036" "estado" => "S300" "issn" => "08732159" ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chylous ascites after laparoscopic donor nephrectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Sharma" 1 => "M. Heer" 2 => "S.V. Subramanaym Malladi" 3 => "M. Minz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1089/end.2005.19.839" "Revista" => array:7 [ "tituloSerie" => "J Endourol" "fecha" => "2005" "volumen" => "19" "numero" => "7" "paginaInicial" => "839" "paginaFinal" => "840" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16190840" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Case report: laparoscopic management of massive chylous ascites after salvage laparoscopic retroperitoneal lymph-node dissection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "O.A. Castillo" 1 => "J.P. Litvak" 2 => "M. Kerkebe" 3 => "R. Olivares" 4 => "R. Urena" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1089/end.2006.20.394" "Revista" => array:7 [ "tituloSerie" => "J Endourol" "fecha" => "2006" "volumen" => "20" "numero" => "6" "paginaInicial" => "394" "paginaFinal" => "396" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16808649" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Laparoscopic repair of chylous ascites" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Geary" 1 => "B. Wade" 2 => "W. Wollmann" 3 => "R. El-Galley" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/01.ju.0000110104.68489.70" "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "2004" "volumen" => "171" "numero" => "3" "paginaInicial" => "1231" "paginaFinal" => "1232" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14767309" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Successful laparoscopic management of chylous ascites following laparoscopic radical nephrectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "K. Nishizawa" 1 => "N. Ito" 2 => "S. Yamamoto" 3 => "T. Kamoto" 4 => "O. Ogawa" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1442-2042.2006.01372.x" "Revista" => array:7 [ "tituloSerie" => "Int J Urol" "fecha" => "2006" "volumen" => "13" "numero" => "5" "paginaInicial" => "619" "paginaFinal" => "621" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16771738" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chylous ascites following retroperitoneal lymphadenectomy for testes cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.E. Link" 1 => "N. Amin" 2 => "L.R. 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