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array:6 [ 0 => array:2 [ "nombre" => "Jorge Rey" "apellidos" => "Rey" ] 1 => array:2 [ "nombre" => "Sabela López" "apellidos" => "García" ] 2 => array:2 [ "nombre" => "Fernando Domínguez" "apellidos" => "Freire" ] 3 => array:2 [ "nombre" => "Arturo Alonso" "apellidos" => "Rodrigo" ] 4 => array:2 [ "nombre" => "Benito Rodríguez" "apellidos" => "Iglesias" ] 5 => array:2 [ "nombre" => "Antonio Ojea" "apellidos" => "Calvo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609728827?idApp=UINPBA00004N" "url" => "/02104806/0000003300000008/v2_201304261001/S0210480609728827/v2_201304261001/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Nota clínica</span>" "titulo" => "Factores de riesgo combinados para síndrome compartimental de la pierna después de una prostatectomía radical laparoscópica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ 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Romero, Roberto Pilati, David Kulysz, Fabrizio A.V. Canali, Paulo V. Baggio, Thadeu Brenny Filho" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Frederico R." "apellidos" => "Romero" "email" => array:1 [ 0 => "frederico.romero@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Roberto" "apellidos" => "Pilati" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "David" "apellidos" => "Kulysz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "Fabrizio A.V." 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"apellidos" => "Baggio" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 5 => array:3 [ "nombre" => "Thadeu Brenny" "apellidos" => "Filho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Department of Urology, Hospital São Vicente, Curitiba, Brasil" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Department of Anesthesiology, Hospital São Vicente, Curitiba, Brasil" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Department of Vascular Surgery, Hospital São Vicente, Curitiba, Brazil" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Combined risk factors leading to well-leg compartment syndrome after laparoscopic radical prostatectomy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-12-19" "fechaAceptado" => "2008-01-03" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec89449" "palabras" => array:5 [ 0 => "Síndrome compartimental" 1 => "Factores de riesgo" 2 => "Prostatectomía radical" 3 => "Laparoscopia" 4 => "Complicaciones postoperatorias" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec89450" "palabras" => array:5 [ 0 => "Compartment syndrome" 1 => "Risk factors" 2 => "Radical prostatectomy" 3 => "Laparoscopy" 4 => "Postoperative complications" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El síndrome compartimental de la pierna es una complicación rara después de la prostatectomía radical laparoscópica. Varios factores de riesgo circunstanciales combinados entre sí pueden predisponer al síndrome compartimental, entre ellos la obesidad, criterios de enfermedad vascular periférica (edad avanzada, hipertensión, hiperlipemia y diabetes mellitus), la profilaxis de la tromboembolia venosa con compresión mecánica junto con compresión neumática intermitente, la anestesia general-espinal combinada, un tiempo operatorio prolongado en posición de Trendelenburg y la hipotensión sistémica por sangrado intraoperatorio.</p><p class="elsevierStyleSimplePara elsevierViewall">Se expone el caso de un varón de 68 años de edad que sufrió síndrome compartimental de la pierna después de una prostatectomía radical laparoscópica por cáncer de próstata, se trata de la patogenia de esta complicación grave y se destacan las medidas preventivas.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Well leg compartment syndrome is rare after laparoscopic radical prostatectomy. We report a 68-year-old man that developed compartment syndrome after laparoscopic radical prostatectomy for prostate cancer. There are several circumstantial risk factors associated with LRP that, when combined, may potentially predispose to the development of compartment syndrome, including: obesity, evidence of peripheral vascular disease (advanced age, hypertension, hyperlipidemia, and diabetes mellitus), thromboembolism prophylaxis with compressive leg wraps together with intermittent pneumatic devices, combined general-spinal anesthesia, prolonged operative time in Trendelenburg position, and systemic hypotension due to intraoperative bleeding. The pathogenesis of this serious complication is discussed and preventive measures are highlighted.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:28 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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