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array:24 [ "pii" => "S0210480609742299" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74229-9" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74229" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:767-70" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2094 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 1242 "PDF" => 846 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609742305" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74230-5" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74230" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:771-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1898 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 1055 "PDF" => 836 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Papel actual de la fotovaporización prostática con Láser Greenlight HPS. 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"apellidos" => "de la Morena Gallego" ] 2 => array:2 [ "nombre" => "Enrique" "apellidos" => "de la Peña Zarzuelo" ] 3 => array:2 [ "nombre" => "Victoria" "apellidos" => "Gómez dos Santos" ] 4 => array:2 [ "nombre" => "Carlos" "apellidos" => "Llorente Abarca" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742305?idApp=UINPBA00004N" "url" => "/02104806/0000003300000007/v1_201304251940/S0210480609742305/v1_201304251940/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609742287" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74228-7" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74228" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:759-66" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1950 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 1116 "PDF" => 827 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Cistoprostatectomía radical robótica: análisis oncológico y funcional" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "759" "paginaFinal" => "766" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Robotic radical cystoprostatectomy: oncological and functional analysis" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Joan Palou Redorta, Josep María Gaya Sopena, Lluís Gausa Gascón, Francisco Sánchez-Martín, Antonio Rosales Bordes, Óscar Rodríguez Faba, Humberto Villavicencio Mavrich" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Joan" "apellidos" => "Palou Redorta" ] 1 => array:2 [ "nombre" => "Josep" "apellidos" => "María Gaya Sopena" ] 2 => array:2 [ "nombre" => "Lluís" "apellidos" => "Gausa Gascón" ] 3 => array:2 [ "nombre" => "Francisco" "apellidos" => "Sánchez-Martín" ] 4 => array:2 [ "nombre" => "Antonio" "apellidos" => "Rosales Bordes" ] 5 => array:2 [ "nombre" => "Óscar" "apellidos" => "Rodríguez Faba" ] 6 => array:2 [ "nombre" => "Humberto" "apellidos" => "Villavicencio Mavrich" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742287?idApp=UINPBA00004N" "url" => "/02104806/0000003300000007/v1_201304251940/S0210480609742287/v1_201304251940/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Nefrectomía laparoscópica simple con asistencia de notes transvaginal y uso de instrumentos laparoscópicos estándar" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "767" "paginaFinal" => "770" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Octavio A. Castillo, Ivar Vidal-Mora, Rodrigo Campos, Alejandro Fonerón, Miguel Feria-Flores, Reinaldo Gómez, Francisco Sepúlveda" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Octavio A." "apellidos" => "Castillo" "email" => array:1 [ 0 => "octaviocastillo@vtr.net" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Ivar" "apellidos" => "Vidal-Mora" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Rodrigo" "apellidos" => "Campos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Alejandro" "apellidos" => "Fonerón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Miguel" "apellidos" => "Feria-Flores" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "Reinaldo" "apellidos" => "Gómez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 6 => array:3 [ "nombre" => "Francisco" "apellidos" => "Sepúlveda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Unidad de Urología Clínica Indisa" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Escuela de Medicina, Facultad de Ciencias de la Salud, Universidad Andrés Bello" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Facultad de Medicina, Universidad de Chile, Santiago, Chile" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Octavio A. Castillo F.A.C.S. Av. Apoquindo 3990, Of. 809, Las Condes. Santiago de Chile. Código postal:7550112 Fax: (56-2) 228 25 24" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Laparoscopic simple nephrectomy with transvaginal notes assistance and the use of standard laparoscopic instruments" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-05-01" "fechaAceptado" => "2009-06-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec89076" "palabras" => array:3 [ 0 => "Cirugía mínimamente invasiva" 1 => "Nefrectomía" 2 => "NOTES" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec89077" "palabras" => array:3 [ 0 => "Minimally invasive surgery" 1 => "Nephrectomy" 2 => "NOTES" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La cirugía endoscópica transluminal a través de orificios naturales (NOTES™) es una tecnología emergente, que permite realizar procedimientos quirúrgicos sin el uso de incisiones abdominales. Sin embargo existen limitaciones respecto al equipamiento disponible para simular la cirugía tradicional. Nuestro objetivo es presentar nuestra experiencia con la técnica de nefrectomía transvaginal NOTES con el uso de instrumentos laparoscópicos estándar.</p> <span class="elsevierStyleSectionTitle">Materiales y Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos dos pacientes de sexo femenino de 23 y 26 años, ambas con diagnóstico de infecciones urinarias recurrentes y atrofia renal secundaria. Se les realizó una nefrectomía simple con asistencia de NOTES, utilizando un puerto de trabajo transvaginal para la cámara y dos puertos adicionales de 10 (umbilical) y 3 mm en el abdomen.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El procedimiento total duró 120 min en el primer caso y 40 minutos en el segundo, con una pérdida sanguínea promedio de 200 cc. (0-200). No se reportan complicaciones, siendo ambas pacientes dadas de alta 36 horas después de su cirugía.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La nefrectomía laparoscópica con asistencia de NOTES transvaginal es técnicamente posible con el uso de instrumentos laparoscópicos estándar. El desarrollo y acceso a trócares y pinzas especiales para la técnica NOTES™, permitirá realizar una técnica pura sin el uso de incisiones abdominales.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Natural orifice transluminal endoscopic surgery (NOTES) is an emerging technique, which allows to performed surgical procedures avoiding any surgical scars. However there are some problems due to the lack of equipment available for these procedures. The aim of these study is to present our initial experience with the transvaginal nephrectomy NOTES using standard laparoscopic instruments.</p> <span class="elsevierStyleSectionTitle">Material and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Two female patients 23 and 29 years old, both of them with diagnosis of recurrent urinary tract infection and renal atrophy. A transvaginal simple nephrectomy was performed using a transvaginal Access for the camera port and two abdominal work ports of 10 and 3mm.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Total operation room time was 120 min in the first case and 40 min. in the second. with an average blood loss of 200 cc. There were no perioperative complications, and both patients was discharged 36 hours after the surgery</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Laparoscopic nephrectomy with transvaginal NOTES assistance is technically feasible with the use of standard laparoscopic instruments. Special Access trocars and instruments development for this procedure will allow to perform a pure technique without the use of abdominal incisions.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "ASGE/SAGES Working Group. 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