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array:24 [ "pii" => "S0210480609728748" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)72874-8" "estado" => "S300" "fechaPublicacion" => "2009-09-01" "aid" => "72874" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:869-72" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4016 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 3081 "PDF" => 929 ] ] "itemSiguiente" => array:18 [ "pii" => "S021048060972875X" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)72875-X" "estado" => "S300" "fechaPublicacion" => "2009-09-01" "aid" => "72875" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:873-80" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 10414 "formatos" => array:3 [ "EPUB" => 10 "HTML" => 9207 "PDF" => 1197 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original – Gangrena de Fournier</span>" "titulo" => "Gangrena de Fournier. Análisis descriptivo de 20 casos y revisión de la bibliografía científica" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "873" "paginaFinal" => "880" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Fournier's gangrene. Descriptive analysis of 20 cases and literature review" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Raúl Montoya Chinchilla, Emilio Izquierdo Morejon, Bogdan Nicolae Pietricicâ, Enrique Pellicer Franco, José Luis Aguayo Albasini, Bernardino Miñana López" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Raúl Montoya" "apellidos" => "Chinchilla" ] 1 => array:2 [ "nombre" => "Emilio Izquierdo" "apellidos" => "Morejon" ] 2 => array:2 [ "nombre" => "Bogdan Nicolae" "apellidos" => "Pietricicâ" ] 3 => array:2 [ "nombre" => "Enrique Pellicer" "apellidos" => "Franco" ] 4 => array:2 [ "nombre" => "José Luis Aguayo" "apellidos" => "Albasini" ] 5 => array:2 [ "nombre" => "Bernardino Miñana" "apellidos" => "López" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021048060972875X?idApp=UINPBA00004N" "url" => "/02104806/0000003300000008/v2_201304261001/S021048060972875X/v2_201304261001/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609728736" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)72873-6" "estado" => "S300" "fechaPublicacion" => "2009-09-01" "aid" => "72873" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:865-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2564 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 1854 "PDF" => 703 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original – Cáncer de vejiga</span>" "titulo" => "¿Implica el T0 en la pieza de cistectomía encontrarse libre de tumor a largo plazo?" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "865" "paginaFinal" => "868" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Does a pT0 cystectomy specimen imply being tumour-free in the long term?" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana Loizaga Iriarte, Nerea Senarriaga Ruiz de la Illa, Isabel Lacasa Viscasillas, Ainara Rábade Ferreiro, Iñaki Iriarte Soldevilla, Miguel Unda Urzaiz" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Ana Loizaga" "apellidos" => "Iriarte" ] 1 => array:2 [ "nombre" => "Nerea Senarriaga Ruiz" "apellidos" => "de la Illa" ] 2 => array:2 [ "nombre" => "Isabel Lacasa" "apellidos" => "Viscasillas" ] 3 => array:2 [ "nombre" => "Ainara Rábade" "apellidos" => "Ferreiro" ] 4 => array:2 [ "nombre" => "Iñaki Iriarte" "apellidos" => "Soldevilla" ] 5 => array:2 [ "nombre" => "Miguel Unda" "apellidos" => "Urzaiz" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609728736?idApp=UINPBA00004N" "url" => "/02104806/0000003300000008/v2_201304261001/S0210480609728736/v2_201304261001/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original – Litiasis</span>" "titulo" => "Estudio prospectivo que compara la litotricia extracorpórea y la ureteroscopia en el tratamiento de la litiasis de uréter distal" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "869" "paginaFinal" => "872" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Fernando Marchant, Óscar Storme, Francisco Osorio, Javiera Benavides, Cristian Palma, Enrique Ossandón" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Fernando" "apellidos" => "Marchant" "email" => array:1 [ 0 => "fmarchantg@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "Óscar" "apellidos" => "Storme" ] 2 => array:2 [ "nombre" => "Francisco" "apellidos" => "Osorio" ] 3 => array:2 [ "nombre" => "Javiera" "apellidos" => "Benavides" ] 4 => array:2 [ "nombre" => "Cristian" "apellidos" => "Palma" ] 5 => array:2 [ "nombre" => "Enrique" "apellidos" => "Ossandón" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología, Unidad de Litiasis, Hospital Clínico de la Universidad de Chile José Joaquín Aguirre, Santiago, Chile" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prospective trial comparing shock wave lithotripsy and ureteroscopy for management of distal ureteral calculi" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-01-08" "fechaAceptado" => "2009-06-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec89432" "palabras" => array:3 [ 0 => "Cálculo ureteral" 1 => "Ureteroscopia" 2 => "Litotricia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec89431" "palabras" => array:3 [ 0 => "Ureteral calculi" 1 => "Ureteroscopy" 2 => "Lithotripsy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Comparar los resultados en el manejo de la litiasis de uréter distal entre la litotricia extracorpórea (LEC) y ureteroscopia (URS) y así evaluar la mejor alternativa de tratamiento en esta afección.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Un total de 104 pacientes con diagnóstico de litiasis de uréter distal, que requerían tratamiento quirúrgico. Se realizó un enrolamiento y seguimiento prospectivo. Se utilizó en LEC un litotriptor Modulix SLX Storz, en la URS se utilizó un ureteroscopio semirrígido Storz 33 cm, diámetro de 7,5 a 9,5 Fr, óptica 6°. Del total de pacientes, 54 fueron a LEC y 50 a URS, y 62 eran varones y 42, mujeres, con una edad promedio de 49,72 años para LEC y de 52,16 años para URS. En la LEC el promedio de tamaño fue 8,29 mm y en la URS, de 8,96 mm. Se estableció una significación estadística p < 0,05.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">El tiempo del procedimiento para la LEC, separado por sexo, fue de 55 min en el caso de los varones y de 45 min en las mujeres. Para la URS fue de 80 min para los varones y de 55 min para las mujeres. El tiempo de hospitalización promedio para la LEC fue de 4,8 h (todos los procedimientos ambulatorios). En el caso de la URS, fue de 22 h. Las complicaciones en el caso de la LEC fueron del 7% y para la URS, del 7,9%. De los pacientes tratados por LEC, el 74,3% presentó <span class="elsevierStyleItalic">stone free</span> a los 30 días, a diferencia de la URS, que presentó un porcentaje de <span class="elsevierStyleItalic">stone free</span> del 92,3% (p < 0,05).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Basados en los resultados de este estudio, la URS es el método más adecuado para el manejo de la litiasis de uréter distal, tanto en resultados de <span class="elsevierStyleItalic">stone free</span> como en la falta de significación en la comparación de complicaciones.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Purpose</span><p class="elsevierStyleSimplePara elsevierViewall">To compare the efficacy of ureteroscopy and extracorporeal shock wave lithotripsy (ESWL) in treating distal ureteral calculi and evaluate the best treatment alternative for this disease.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 104 patients with distal ureteral calculi requiring surgical intervention were enrolled and observed in a prospective follow-up. For ESWL, a Modulix SLX Storz lithotriptor was used and for ureteroscopy, a Storz 33 cm semi-rigid ureteroscope with a diameter of 7,5 to 9,5 french and a 6-degree optic. Out of the patient total, 54 patients underwent ESWL and 50 underwent ureteroscopy. 62 patients were men and 42 women; mean age in the ESWL group was 49.72, and in the ureteroscopy group, 52,16. Mean calculus size for ESWL was 8.29mm and 8,96 mm for ureteroscopy. A <span class="elsevierStyleItalic">P</span><.05 was considered statistically significant.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Mean procedure time for ESWL was 55 minutes in men and 45 minutes in women. For ureteroscopy, procedure time was 80 minutes for men and 55 minutes for women. For ESWL, the mean hospital stay was 4.8 hours (same-day discharge for all patients). Mean hospital stay for ureteroscopy patients was 22 hours. 7% of ESWL patients experienced complications compared with 7.9% of those undergoing ureteroscopy. At the 30-day follow up, 74.3% of ESWL patients were stone free, while 92,3% of the ureteroscopy patients were stone free (<span class="elsevierStyleItalic">P</span><.05).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Based on the results of this study, ureteroscopy is a better method for treating distal ureteral calculi because of its stone free rates and because the difference in complication rates was not significant.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:11 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of ureteral calculi: a cost comparision and decision making analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "Y. Lotan" 1 => "M. Gettman" 2 => "C. Roehrborn" 3 => "J. Cadedu" 4 => "M. Pearle" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Urol" "fecha" => "2002" "volumen" => "167" "paginaInicial" => "1621" "paginaFinal" => "1629" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11912376" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Extracorporeal shock wave lithotripsy and transureteral lithotripsy in the treatment of in impacted lower ureteral caluli" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Ziaee" 1 => "A. Basiri" 2 => "M. Nadjafi-Semnani" 3 => "S. Zand" 4 => "A. Iranpuor" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Urol" "fecha" => "2006" "volumen" => "3" "paginaInicial" => "75" "paginaFinal" => "78" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Shock wave lithotripsy versus uretheroscopy for distal ureteral calculi: a prospective study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P. Honeck" 1 => "A. Häcker" 2 => "P. Alken" 3 => "M. Michel" 4 => "T. Knoll" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Urology Res" "fecha" => "2006" "volumen" => "34" "paginaInicial" => "190" "paginaFinal" => "192" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02104806/0000003300000008/v2_201304261001/S0210480609728748/v2_201304261001/es/main.assets" "Apartado" => array:4 [ "identificador" => "6266" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original - Litiasis" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02104806/0000003300000008/v2_201304261001/S0210480609728748/v2_201304261001/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609728748?idApp=UINPBA00004N" "pdfAlternativo" => array:1 [ 0 => array:3 [ "idioma" => "en" "documentoPdf" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/file/02104806/addon/S0210480609728748/S300/en/292v33n08a13142629pdf001_2.pdf" "portada" => "292v33n08a13142629pdf001_2.png" ] ] ]
