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array:24 [ "pii" => "S021048060974118X" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74118-X" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74118" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:167-71" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1829 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 1138 "PDF" => 684 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609741191" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74119-1" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74119" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:172-81" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1677 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 851 "PDF" => 819 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Laparo-endoscopia por acceso único: experiencia inicial" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "172" "paginaFinal" => "181" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Laparo-endoscopic single site (LESS)" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rene Sotelo, Juan Carlos Astigueta, Oswaldo Carmona, Robert De Andrade, Rafael Sanchez-Salas" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Rene" "apellidos" => "Sotelo" ] 1 => array:2 [ "nombre" => "Juan" "apellidos" => "Carlos Astigueta" ] 2 => array:2 [ "nombre" => "Oswaldo" "apellidos" => "Carmona" ] 3 => array:2 [ "nombre" => "Robert" "apellidos" => "De Andrade" ] 4 => array:2 [ "nombre" => "Rafael" "apellidos" => "Sanchez-Salas" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609741191?idApp=UINPBA00004N" "url" => "/02104806/0000003300000002/v1_201304251922/S0210480609741191/v1_201304251922/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609741178" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74117-8" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74117" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:159-66" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2405 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 1593 "PDF" => 806 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Prevalencia de incontinencia urinaria y vejiga hiperactiva en la población española: Resultados del estudio EPICC" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "159" "paginaFinal" => "166" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prevalence of urinary incontinence and oberactive bladder in spanish population: results from EPICC study" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Agulló Eduardo Martínez, L. José, Cerdá Ruiz, Pérez Luis Gómez, Backhaus Miguel Ramírez, Oliva Francisco Delgado, Rebollo Pablo, Alsina Diego González-Segura, Arumi Daniel, Grupo de Estudio Cooperativo" "autores" => array:10 [ 0 => array:2 [ "nombre" => "Agulló" "apellidos" => "Eduardo Martínez" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "José" ] 2 => array:2 [ "nombre" => "Cerdá" "apellidos" => "Ruiz" ] 3 => array:2 [ "nombre" => "Pérez" "apellidos" => "Luis Gómez" ] 4 => array:2 [ "nombre" => "Backhaus" "apellidos" => "Miguel Ramírez" ] 5 => array:2 [ "nombre" => "Oliva" "apellidos" => "Francisco Delgado" ] 6 => array:2 [ "nombre" => "Rebollo" "apellidos" => "Pablo" ] 7 => array:2 [ "nombre" => "Alsina" "apellidos" => "Diego González-Segura" ] 8 => array:2 [ "nombre" => "Arumi" "apellidos" => "Daniel" ] 9 => array:2 [ "nombre" => "Grupo" "apellidos" => "de Estudio Cooperativo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609741178?idApp=UINPBA00004N" "url" => "/02104806/0000003300000002/v1_201304251922/S0210480609741178/v1_201304251922/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Estudio prospectivo no randomizado comparando los resultados funcionales y oncológicos entre la prostatectomía radical retropúbica y laparoscópica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "167" "paginaFinal" => "171" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Marcelo Kerkebe Lama, Nelson R. Orellana Salinas, José M. Flores Martínez, Rubén A. Olivares Gribbell, Oscar Storme Cabrera, Cynthia A. Fuentealba Sudy" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Marcelo" "apellidos" => "Kerkebe Lama" "email" => array:1 [ 0 => "marcelo.kerkebe@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "Nelson" "apellidos" => "R. Orellana Salinas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "José" "apellidos" => "M. Flores Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Rubén" "apellidos" => "A. Olivares Gribbell" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Oscar" "apellidos" => "Storme Cabrera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "Cynthia" "apellidos" => "A. Fuentealba Sudy" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Urología del Hospital DIPRECA." "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento Urología Universidad de Chile." "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Marcelo Kerkebe Servicio de Urología. Hospital DIPRECA Avenida Vital Apoquindo 1200 - Las Condes - Chile Tel.: 056-2-2401412" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prospective study and comparative of surgical and oncologic outcome between laparoscopic and retropubical radical prostatectomy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-10-31" "fechaAceptado" => "2008-11-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88812" "palabras" => array:3 [ 0 => "Próstata" 1 => "Cáncer" 2 => "Cirugía laparoscópica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec88811" "palabras" => array:3 [ 0 => "Prostate" 1 => "Cancer" 2 => "Laparoscopic surgery" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La prostatectomía radical es un procedimiento quirúrgico potencialmente curativo. Objetivo: Evaluar y comparar los resultados quirúrgicos y oncológicos entre la prostatectomía radical retropúbica (PRR) y la prostatectomía radical laparoscópica (PRL) en el servicio de Urología del Hospital DIPRECA.</p> <span class="elsevierStyleSectionTitle">Material y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Un total de 115 pacientes, 56 para PRL y 59 PRR realizadas entre enero 2003 hasta marzo 2007. Estudio prospectivo, no randomizado. Se compararon los resultados funcionales y oncológicos de acuerdo a variables estandarizadas y su análisis estadístico correspondiente, usando programa estadístico SPSS 12.0.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El tiempo operatorio promedio fue de 202,5 minutos para PRL y 150,5 minutos en PRR (p<0,0001). Requerimiento de transfusiones mayor para la PRR (p<0,0001), al igual que en número de días de hospitalización (p=0,0073) y tiempo de requerimiento de sonda Foley (p=0,0001). Hubo 15 complicaciones en PRL y 8 en PRR (p=0,10). No hubo diferencias significativas en la conservación de la función sexual y continencia urinaria postcirugía. En el análisis oncológico el margen quirúrgico positivo no presento diferencias, tampoco en la recidiva bioquímica en el seguimiento.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Nuestros resultados muestran que ambas cirugías tienen resultados similares en términos oncológicos, continencia y función sexual. Existe un claro beneficio a favor de la PRL en cuanto a menor sangrado, y recuperación precoz. Si bien la PRR supera a la PRL en tiempo operatorio, creemos que esta variable depende de la curva de aprendizaje. Según nuestra revisión, éste es el primer trabajo comparativo entre estas dos técnicas que se publica en Chile.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Radical prostatectomy (RP) is a potentially healing surgical procedure. Objective: We evaluate and compare the surgical and oncologic outcomes between laparoscopic and retropubical radical prostatectomy in the Urology Department in DIPRECA Hospital.</p> <span class="elsevierStyleSectionTitle">method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We constructed a nonrandomised, prospective study between january 2003 and march 2007. A total of 115 patients, 56 operated laparoscopically and 59 by retropubical RP. Functional and oncologic results were compared according to standardized variables and their corresponding statistical analysis, for which we used SPSS 12.0 program.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Mean operation time was 202,5 minutes for laparoscopic RP and 150,5 for retropubical RP (p<0.0001). Retropubical RP required more blood transfusions (p<0.0001), longer hospital stay (p=0,0073) and longer need for vesical catheter (p=0,0001) than laparoscopic RP. There were 23 complications, 15 attributable to laparoscopic RP. We found no significant differences in postsurgical sexual function and urinary continence. In respect to the oncologic variables, we found no statistically relevant differences in positive surgical margins nor biochemical relapse during follow up.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We found no significant differences between retropubical and laparoscopic RP in the oncologic and functional variables analyzed. Nevertheless, our experience shows a distinct benefit in favour of the laparoscopic approach in relation to bleeding and recovery rate. Though retropubical RP has a shorter operating time, we believe this variable depends on the learning curve still developing for laparoscopic RP. According to our literary review, this is the first publication in Chile that compares both techniques.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intra- and Peri-Operative Outcomes Comparing Radical Retropubic and Laparoscopic Radical Prostatectomy: Results from a Prospective, Randomised, Single- Surgeon Study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:8 [ 0 => "G. Guazzoni" 1 => "A. Cestari" 2 => "R. Naspro" 3 => "M. Riva" 4 => "A. Centemero" 5 => "M. Zanoni" 6 => "L. Rigatti" 7 => "P. 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Wu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.urology.2006.08.1054" "Revista" => array:7 [ "tituloSerie" => "Urology" "fecha" => "2006" "volumen" => "68" "numero" => "6" "paginaInicial" => "1253" "paginaFinal" => "1256" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17141845" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Contemporary Laparoscopic and Open Radical Retropubic Prostatectomy: Pathologic Outcomes and Kattan Postoperative Nomograms Are Equivalent" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Park" 1 => "O. Jaffer" 2 => "Y. Lotan" 3 => "H. Saboorian" 4 => "C.G. Roehrborn" 5 => "J.A. Cadeddu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.urology.2006.09.033" "Revista" => array:7 [ "tituloSerie" => "Urology" "fecha" => "2007" "volumen" => "69" "numero" => "1" "paginaInicial" => "118" "paginaFinal" => "122" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17270631" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Risk-Adjusted Analysis of Positive Surgical Margins Following Laparoscopic and Retropubic Radical Prostatectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "K. Touijer" 1 => "K. Kuroiwa" 2 => "J.A. Eastham" 3 => "A. Vickers" 4 => "V.E. Reuter" 5 => "P.T. Scardino" 6 => "B. 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