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array:23 [ "pii" => "S0210480608739597" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73959-7" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73959" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2008" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:908-15" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1328 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 883 "PDF" => 438 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480608739603" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73960-3" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73960" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:916-25" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1306 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 810 "PDF" => 489 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Evaluación económica del tratamiento médico de la hiperplasia benigna de próstata (HBP) en España en atención especializada. Aplicación al costeefectividad de dos fármacos habitualmente utilizados en su tratamiento" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "916" "paginaFinal" => "925" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Economic Evaluation Of Medical Treatment Of Benign Prostatic Hyperplasia (Bph) In The Specialised Care Setting In Spain. Application To The Cost-Effectiveness Of Two Drugs Frequently Used In Its Treatment" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Carballido, J.L. Ruiz-Cerdá, M. Unda, V. Baena, P. Campoy, J. Manasanch, J. Slof" "autores" => array:7 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Carballido" ] 1 => array:2 [ "nombre" => "J.L." "apellidos" => "Ruiz-Cerdá" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Unda" ] 3 => array:2 [ "nombre" => "V." "apellidos" => "Baena" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Campoy" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Manasanch" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Slof" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739603?idApp=UINPBA00004N" "url" => "/02104806/0000003200000009/v1_201304251914/S0210480608739603/v1_201304251914/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480608739585" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73958-5" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73958" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:904-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1560 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 878 "PDF" => 674 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Utilidad de la citología de orina para el diagnóstico del carcinoma vesical: estudio comparativo con biopsia" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "904" "paginaFinal" => "907" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Usefulness of Urine Cytology for Bladder Carcinoma Diagnosis: Comparative Study with Biopsy" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.A. García Castro, E. Fernández Fernández, M.C. Martín Corriente, S. García Hernández, H. Álvarez-Argüelles Cabrera" "autores" => array:5 [ 0 => array:2 [ "nombre" => "M.A." "apellidos" => "García Castro" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Fernández Fernández" ] 2 => array:2 [ "nombre" => "M.C." "apellidos" => "Martín Corriente" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "García Hernández" ] 4 => array:2 [ "nombre" => "H." "apellidos" => "Álvarez-Argüelles Cabrera" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739585?idApp=UINPBA00004N" "url" => "/02104806/0000003200000009/v1_201304251914/S0210480608739585/v1_201304251914/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Derivaciones urinarias laparoscópicas" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "908" "paginaFinal" => "915" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "S. Alonso y Gregorio, M. Álvarez Maestro, P.M. Cabrera Castillo, A. Tabernero Gómez, R. Cansino Alcaide, J. Cisneros Ledo, J.J. De la Peña Barthel" "autores" => array:7 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Alonso y Gregorio" "email" => array:1 [ 0 => "garavelos@terra.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Álvarez Maestro" ] 2 => array:2 [ "nombre" => "P.M." "apellidos" => "Cabrera Castillo" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Tabernero Gómez" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Cansino Alcaide" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Cisneros Ledo" ] 6 => array:2 [ "nombre" => "J.J." "apellidos" => "De la Peña Barthel" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Hospital Universitario La Paz. Madrid" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. S. Alonso y Gregorio Servicio de Urología. Hospital Universitario La Paz Paseo de la Castellana, 261 - 28046 Madrid. Tel.: 917 277 305" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Laparoscopic Urinary Diversions" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-06-30" "fechaAceptado" => "2008-06-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88705" "palabras" => array:5 [ 0 => "Laparoscopia" 1 => "Cistectomía" 2 => "Derivación urinaria" 3 => "Neovejiga" 4 => "Conducto ileal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec88706" "palabras" => array:5 [ 0 => "Laparoscopy" 1 => "Cystectomy" 2 => "Urinary diversion" 3 => "Neobladder" 4 => "Ileal conduit" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El tratamiento del cáncer vesical infiltrante y el carcinoma superficial de alto grado recidivante está claramente establecido en la cistectomía radical y linfadenectomía pelviana. Uno de los campos que más dudas plantea en su abordaje por vía laparoscópica es el tratamiento radical del cáncer vesical, que exige experiencia en cirugía laparoscópica pelviana y en el que la derivación urinaria presenta grandes dificultades técnicas a su abordaje laparoscópico.</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El objetivo fundamental de este artículo es comunicar nuestros resultados con las derivaciones urinarias tras cistectomía radical laparoscópica en las que hemos llevado a cabo las anastomosis ureteroileales por vía laparoscópica.</p> <span class="elsevierStyleSectionTitle">Material y Métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Desde enero del 2005 hasta diciembre 2007 hemos completado 67 cistectomías radicales laparoscópicas. Hemos realizado un total de 28 derivaciones urinarias laparoscópicas según nuestra técnica, siendo en 7 pacientes enterocistoplastias de sustitución con una edad media de 54,85 años y en 21 pacientes ureteroileostomía cutánea con una edad media de 69,15 años.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El tiempo quirúrgico medio de la enterocistoplastia con anastomosis uretral y ureteral laparoscópicas es de 5 h y 30 min. Para la ureteroileostomía cutánea con anastomosis ureteral laparoscópica el tiempo quirúrgico medio ha sido de 4hs. y 30 min. Hemos tenido 1 caso de fuga urinaria en las neovejigas laparoscópicas y 3 casos en los conductos ileales laparoscópicos (14%). No hemos tenido ningún caso de dehiscencia intestinal ni de estenosis ureteroileal. La estancia media de las neovejigas es de 13,6 días para el 85% de los casos y de 11,8 días para el 77,7% de las ureteroileostomías laparoscópicas.</p> <span class="elsevierStyleSectionTitle">Discusión</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La cistectomía radical laparoscópica constituye un procedimiento todavía relegado a centros con gran experiencia en cirugía laparoscópica. El procedimiento más aceptado por la mayoría de los grupos incluye realizar la cistectomía por vía laparoscópica y la derivación urinaria por vía abierta. No existen evidencias sobre las posibles ventajas de las derivaciones urinarias por vía laparoscópica. En cualquier caso, son necesarios estudios comparativos para definir claramente el papel de la cirugía laparoscópica en las derivaciones urinarias.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The treatment of the invasive bladder cancer and the recurrent T 1 G 3 is clearly established in radical cystectomy and pelvic linphadenectomy. One of the fields where the laparoscopic approach implies more doubts is the treatment of bladder cancer, because it requires experience enough in pelvic laparoscopic surgery and the urinary diversion implies great technical difficulties to the laparoscopic approach.</p> <span class="elsevierStyleSectionTitle">Objetives</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The main goal of this article is to report our results with the urinary diversion after laparoscopic radical cystectomy where the ureteral anastomosis has been performed by a laparoscopic approach.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">From January 2005 to December 2007 we have performed 67 laparoscopic radical cistectomies. We conducted 28 laparoscopic urinary diversions with our technique: 7 neobladder with an average age of 54,85 years and 21 ileal conduit with an average age of 69,15 years.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The averagesurgical time for enterocistoplasty with laparoscopic urethral and ureteral anastomosis is of 5 hours and 30 minutes. For the cutaneous ureteroileostomy with laparoscopic ureteral anastomosis the average surgical time has been of 4 hours and 30 minutes. We have had 1 case of urinary leakage in the laparoscopic neobladder and 3 cases in the laparoscopic ileal conduit (14%). We have not intestinal dehiscence nor ileal-ureteric stenosis. The average hospital stay for laparoscopic neobladder is for the 85% of cases of 13,6 days, and of 11,8 days for the 77,7% ofileal ureteric laparoscopies.</p> <span class="elsevierStyleSectionTitle">Discussion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The laparoscopic radical cystectomy is still a procedure reserved for groups with great experience in laparoscopic surgery. Nowadays, the most accepted procedure by most groups includes perform the cystectomy by a laparoscopic approach and the urinary diversion by an open approach. There is no evidence of the advantages of laparoscopic urinary diversion. It is necessary to perform comparative studies to clearly define the role of laparoscopic surgery in the urinary diversion.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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