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array:24 [ "pii" => "S0210480609741221" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74122-1" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74122" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:192-6" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1885 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 925 "PDF" => 952 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609741233" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74123-3" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74123" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:197-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1776 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 738 "PDF" => 1031 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Adenocarcinoma vesical primario en extrofia vesical no corregida" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "197" "paginaFinal" => "199" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Primary Bladder Adenocarcinoma In Unreconstructed Exstrophic Bladdera" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Vanesa Bango García, Saturnino Luján Marco, Manuel Bosquet Sanz, Vicente Gimeno Argente, Salvador Arlandis Guzmán, Manuel Alonso Gorrea, Fernando Jiménez Cruz" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Vanesa" "apellidos" => "Bango García" ] 1 => array:2 [ "nombre" => "Saturnino" "apellidos" => "Luján Marco" ] 2 => array:2 [ "nombre" => "Manuel" "apellidos" => "Bosquet Sanz" ] 3 => array:2 [ "nombre" => "Vicente" "apellidos" => "Gimeno Argente" ] 4 => array:2 [ "nombre" => "Salvador" "apellidos" => "Arlandis Guzmán" ] 5 => array:2 [ "nombre" => "Manuel" "apellidos" => "Alonso Gorrea" ] 6 => array:2 [ "nombre" => "Fernando" "apellidos" => "Jiménez Cruz" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609741233?idApp=UINPBA00004N" "url" => "/02104806/0000003300000002/v1_201304251922/S0210480609741233/v1_201304251922/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S021048060974121X" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74121-X" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74121" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:188-91" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1707 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 926 "PDF" => 776 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Experiencia inicial de nefrectomía derecha de donante vivo por laparoscopia" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "188" "paginaFinal" => "191" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Experience initial right side laparoscopic live donor" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Robert J. de Andrade Andrade, David S. Arana Castro, David E. Arana García, C. Juan, Córdova Melo" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Robert" "apellidos" => "J. de Andrade Andrade" ] 1 => array:2 [ "nombre" => "David" "apellidos" => "S. Arana Castro" ] 2 => array:2 [ "nombre" => "David" "apellidos" => "E. Arana García" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Juan" ] 4 => array:2 [ "nombre" => "Córdova" "apellidos" => "Melo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021048060974121X?idApp=UINPBA00004N" "url" => "/02104806/0000003300000002/v1_201304251922/S021048060974121X/v1_201304251922/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Ascitis quilosa tras nefrectomía radical y linfadenectomía retroperitoneal" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "192" "paginaFinal" => "196" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Andrés Rodríguez Alonso, Alfonso González Blanco, Alfonso Barbagelata López, Carlos Bonelli Martín, María Fernández López, Miguel A. Cuerpo Pérez" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Andrés" "apellidos" => "Rodríguez Alonso" "email" => array:1 [ 0 => "ara68@orange.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "Alfonso" "apellidos" => "González Blanco" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Alfonso" "apellidos" => "Barbagelata López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Carlos" "apellidos" => "Bonelli Martín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "María" "apellidos" => "Fernández López" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "Miguel A." "apellidos" => "Cuerpo Pérez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Análisis Clínicos. Hospital Arquitecto Marcide – Profesor Novoa Santos. Ferrol, La Coruña, España" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Urología. Servicio de Análisis Clínicos. Hospital Arquitecto Marcide – Profesor Novoa Santos. Ferrol, La Coruña, España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Andrés Rodríguez Alonso Servicio de Urología Hospital Arquitecto Marcide – Profesor Novoa Santos Ctra. San Pedro de Leixa, s/n - 15405 Ferrol, La Coruña Tel.: 981 334 052" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Chylous ascites following radical nephrectomy and retroperitoneal lymphadenectomy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-05-31" "fechaAceptado" => "2007-06-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88815" "palabras" => array:6 [ 0 => "Ascitis quilosa" 1 => "Neoplasia de riñón" 2 => "Nefrectomía" 3 => "Linfadenectomía" 4 => "Octreótide" 5 => "Tratamiento conservador" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec88816" "palabras" => array:6 [ 0 => "Chilous ascites" 1 => "Kidney neoplasms" 2 => "Nephrectomy" 3 => "Lymphadenectomy" 4 => "Octreotide" 5 => "Conservative treatment" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La ascitis quilosa consiste en el acúmulo de quilo en la cavidad abdominal. Su presentación postquirúrgica ocurre a consecuencia de una lesión inadvertida de la cisterna del quilo o una de sus principales aferentes lumbares. Se presenta habitualmente como un cuadro de distensión y dolor abdominales, o bien como salida de líquido lechoso a través de la herida quirúrgica o del drenaje abdominal. El diagnóstico se establece mediante análisis citoquímico del líquido y tinción con Sudán III, que muestra gotas de grasa (quilomicrones), leucocitos con predominio de linfocitos y una elevada concentración de triglicéridos. Presentamos un caso de ascitis quilosa postquirúrgica, tras nefrectomía radical y linfadenectomía retroperitoneal por cáncer de riñón, que se resolvió satisfactoriamente con medidas conservadoras: nutrición parenteral total y octreótide.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Chylous ascites consists of the accumulation of chyle in the abdominal cavity. Postoperative presentation develops as a consecuence of unrecognized injury of cisterna chyli or one of its major lumbar tributaries. It usually present as abdominal distention and pain or drainage of milky fluid from surgical wound or abdominal drain. Diagnosis is established by cytochemical analysis of fluid and staining with Sudan III, that shows fat globules, leukocytes with lymphocytic predominance and a high triglyceride content. We present a case of postoperative chylous ascites following radical nephrectomy and retroperitoneal lymphadenectomy for renal cancer, which successfully respond to conservative measures: total parenteral nutrition and octreotide.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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