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array:24 [ "pii" => "S0210480609741439" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74143-9" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74143" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:290-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1446 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 757 "PDF" => 681 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609741440" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74144-0" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74144" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:296-303" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3033 "formatos" => array:3 [ "EPUB" => 9 "HTML" => 2137 "PDF" => 887 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Hematomas renales tras Litotricia Extracorpórea por Ondas de Choque (LEOCH)" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "296" "paginaFinal" => "303" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Renal Hematomas After Extracorporeal Shock-Wave Lithotripsy (Eswl)" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Héctor Pastor Navarro, Pedro Carrión López, Jesús Martínez Ruiz, José Mª Pastor Guzmán, Mariano Martínez Martín, A. Julio Virseda Rodríguez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Héctor" "apellidos" => "Pastor Navarro" ] 1 => array:2 [ "nombre" => "Pedro" "apellidos" => "Carrión López" ] 2 => array:2 [ "nombre" => "Jesús" "apellidos" => "Martínez Ruiz" ] 3 => array:2 [ "nombre" => "José Mª" "apellidos" => "Pastor Guzmán" ] 4 => array:2 [ "nombre" => "Mariano" "apellidos" => "Martínez Martín" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Julio Virseda Rodríguez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609741440?idApp=UINPBA00004N" "url" => "/02104806/0000003300000003/v1_201304251925/S0210480609741440/v1_201304251925/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609741427" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74142-7" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74142" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:284-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1749 "formatos" => array:3 [ "EPUB" => 9 "HTML" => 913 "PDF" => 827 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Manejo laparoscópico de las anomalías sintomáticas del uraco" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "284" "paginaFinal" => "289" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Laparoscopic management of symptomatic urachal anomalies" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Germán Cruz-González, Rodolfo Sánchez-Salas, Rene Sotelo, Rafael E. Sánchez-Salas, Alexis Sánchez-Ismayel, Renata Sánchez, Omaira Rodríguez, Erasmo Sanabria" "autores" => array:8 [ 0 => array:2 [ "nombre" => "Germán" "apellidos" => "Cruz-González" ] 1 => array:2 [ "nombre" => "Rodolfo" "apellidos" => "Sánchez-Salas" ] 2 => array:2 [ "nombre" => "Rene" "apellidos" => "Sotelo" ] 3 => array:2 [ "nombre" => "Rafael E." "apellidos" => "Sánchez-Salas" ] 4 => array:2 [ "nombre" => "Alexis" "apellidos" => "Sánchez-Ismayel" ] 5 => array:2 [ "nombre" => "Renata" "apellidos" => "Sánchez" ] 6 => array:2 [ "nombre" => "Omaira" "apellidos" => "Rodríguez" ] 7 => array:2 [ "nombre" => "Erasmo" "apellidos" => "Sanabria" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609741427?idApp=UINPBA00004N" "url" => "/02104806/0000003300000003/v1_201304251925/S0210480609741427/v1_201304251925/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "El aprendizaje de la Prostatectomía Radical Laparoscópica según el modelo de Leipzig. Análisis de un programa tutelado progresivo" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "290" "paginaFinal" => "295" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Miguel Ramírez Backhaus, L. José Ruiz-Cerdá, F. Juan Cruz Jiménez, Jens Uwe Stolzenburg, Mihn Do, Ania Dietel" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Miguel" "apellidos" => "Ramírez Backhaus" "email" => array:1 [ 0 => "ramirezbackhaus@yahoo.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" => "L." "apellidos" => "José Ruiz-Cerdá" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "F." "apellidos" => "Juan Cruz Jiménez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Jens" "apellidos" => "Uwe Stolzenburg" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Mihn" "apellidos" => "Do" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "Ania" "apellidos" => "Dietel" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Urología. Hospital Universitario La Fe. Valencia. España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Departamento de Urología. Uniklinik Leipzig. Alemania" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Miguel Ramírez Backhaus Servicio de Urología. Hospital Universitario La Fe. Avenida Campanar, 21 - 46009 Valencia. Tel.: 963 862 700" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Learning laparoscopic radical prostatectomy with the Leipzig program. Analysis of the training module program" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-11-01" "fechaAceptado" => "2008-12-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88866" "palabras" => array:3 [ 0 => "Cáncer de próstata" 1 => "Prostatectomía radical" 2 => "Curva de aprendizaje" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88865" "palabras" => array:3 [ 0 => "Prostate cancer" 1 => "Radical prostatectomy" 2 => "Learning curve" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción y objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En la mayoría de los casos el aprendizaje de la prostatectomía radical laparoscópica no se completa durante la residencia. Ante esta problemática internacional surgen las becas o “fellowships” de los centros de excelencia europeos y norteamericanos. El objetivo del presente trabajo es evaluar la eficiencia de la beca de formación propuesta por el grupo alemán.</p> <span class="elsevierStyleSectionTitle">Material y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Describimos la evolución de un becario durante el entrenamiento progresivo, tutorizado por módulos descrito por el grupo de Leipzig, evaluamos la eficiencia del modelo describiendo los resultados de las primeras 30 prostatectomías radicales del becario como cirujano autónomo, comparamos los resultados con la serie histórica del centro, con la curva de aprendizaje de residentes del mismo centro y de otros centros.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El becario cumplimentó el entrenamiento por módulos en 7 meses posteriormente se le asignaron 30 prostatectomías radicales sin la obligatoriedad de ser ayudado por un cirujano experto. En el 46,67% de los pacientes se aplicó una técnica intrafascial. El tiempo quirúrgico medio fue de 2h y 27 minutos, incluida la linfadenectomía (realizada en 20/30 pacientes). Dos pacientes presentaron márgenes positivos, todas las anastomosis, menos un paciente, fueron estancas. La sonda se retiró al quinto día (mediana). No se detectaron complicaciones intraoperatorias ni en el posoperatorio tardío. Los resultados de éstas, se superponen a la de los residentes del mismo centro y a la de otros urólogos que siguen un entrenamiento tutelado de larga duración.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El aprendizaje de la prostatectomía radical laparoscópica debe seguir un modelo tutorizado progresivo de larga duración. Hasta la expansión definitiva de la técnica, el programa de formación tipo “fellow” que imparte el grupo de Leipzig es un modelo de formación completo y efectivo.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction and objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">In most cases the learning curve of laparoscopic radical prostatectomy is not completed during the residency. This is why International Fellowship programs are becoming more popular. The aim of this paper is to evaluate the efficiency of the fellowship program of the German group.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We describe the evolution of our last fellow in the modular training program developed by the Leipzig group. We also evaluate the efficiency of this program by analyzing the results of 30 procedures performed by the fellow as first surgeon. In addition we have reviewed the literature and compared those outcomes with previous series of the clinic and other training programs.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The training programme was completed in four months. After this time, the fellow performed 30 procedures without any assistance from a tutor. 46,67% of these procedures were nerve sparing. The time average was 2 hours and 27 minutes. The programme includes lymphadenectomy in 20 patients. Two patients had positive margins, all anastomosis were tight except for one. Urethral catheter was removed on the fifth day and there were no other intraopertive or early postoperative complications. Results may be compared to previous results of other residents of the department and also of other groups where a long term tutor program was performed.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The learning process of laparoscopic radical prostatectomy should follow a long term tutorized model. Until the definitive expansion/development of this technique, the Leipzig Fellowship program is a complete and effective formation schedule.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prostatectomía radical laparoscópica. Revisión de la literatura. 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