Compartir
array:24 [ "pii" => "S0210480609740070" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74007-0" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74007" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:83-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1622 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 884 "PDF" => 732 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609740082" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74008-2" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74008" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2009;33:86-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2235 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 1285 "PDF" => 945 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Atrofia renal izquierda y abocamiento ureteral a vesícula seminal. tratamiento quirúrgico laparoscópico" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "86" "paginaFinal" => "89" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Left renal atrophy and ureteral abouchement in seminal vesicle. laparoscopic surgical treatment" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José M. Janeiro pais, Daniel López garcía, Manuel Á. Ruibal moldes, Vicente Pastor casas agudo, Paula Fernández suárez, Marcelino González martín" "autores" => array:6 [ 0 => array:2 [ "nombre" => "José M." "apellidos" => "Janeiro pais" ] 1 => array:2 [ "nombre" => "Daniel" "apellidos" => "López garcía" ] 2 => array:2 [ "nombre" => "Manuel Á." "apellidos" => "Ruibal moldes" ] 3 => array:2 [ "nombre" => "Vicente" "apellidos" => "Pastor casas agudo" ] 4 => array:2 [ "nombre" => "Paula" "apellidos" => "Fernández suárez" ] 5 => array:2 [ "nombre" => "Marcelino" "apellidos" => "González martín" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609740082?idApp=UINPBA00004N" "url" => "/02104806/0000003300000001/v1_201304251919/S0210480609740082/v1_201304251919/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609740069" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74006-9" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74006" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:76-82" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2577 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 1533 "PDF" => 1036 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Clips metálicos de titanio: una técnica de sutura más rápida y fácil de utilizar que las suturas convencionales en autotrasplantes renales heterotópicos en cerdos en crecimiento" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "76" "paginaFinal" => "82" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Titanium metallic clips: easier and faster than conventional suturing for heterotopic renal autotransplant in growing pigs" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mª Carmen calles vázquez, Elena Abellán rubio, Verónica Crisóstomo ayala, Mª Fernanda martín cancho, M. Francisco, Sánchez Margallo, Jesús Usón gargallo" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Mª" "apellidos" => "Carmen calles vázquez" ] 1 => array:2 [ "nombre" => "Elena" "apellidos" => "Abellán rubio" ] 2 => array:2 [ "nombre" => "Verónica" "apellidos" => "Crisóstomo ayala" ] 3 => array:2 [ "nombre" => "Mª" "apellidos" => "Fernanda martín cancho" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Francisco" ] 5 => array:2 [ "nombre" => "Sánchez" "apellidos" => "Margallo" ] 6 => array:2 [ "nombre" => "Jesús" "apellidos" => "Usón gargallo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609740069?idApp=UINPBA00004N" "url" => "/02104806/0000003300000001/v1_201304251919/S0210480609740069/v1_201304251919/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Nefrectomía parcial laparoscópica en riñón trasplantado" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "83" "paginaFinal" => "85" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Vanesa Monllau font, Antonio Rosales bordes, Fernando Rodríguez escovar, Salvador Esquena fernández, Humberto Villavicencio mavrich" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Vanesa" "apellidos" => "Monllau font" "email" => array:1 [ 0 => "37359vmf@comb.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Antonio" "apellidos" => "Rosales bordes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Fernando" "apellidos" => "Rodríguez escovar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Salvador" "apellidos" => "Esquena fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Humberto" "apellidos" => "Villavicencio mavrich" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Urología. Fundació Puigvert. Barcelona" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1." "correspondencia" => "Correspondencia autor: Dra. Vanesa Monllau Font Servicio de Urología. Fundació Puigvert Cartagena, 340-350 - 08025 Barcelona Tel.: 934 169 700" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Non-sparing surgery of a transplanted kidney" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-04-01" "fechaAceptado" => "2007-07-01" "PalabrasClave" => array:1 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88783" "palabras" => array:3 [ 0 => "Renal transplant" 1 => "Renal carcinoma" 2 => "Non-sparing surgery" ] ] 1 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88784" "palabras" => array:3 [ 0 => "Trasplante renal" 1 => "Carcinoma renal" 2 => "Cirugía conservadora" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Existe un aumento en la incidencia de tumores dentro de la población de trasplantados renales respecto a la población general, que puede elevarse de tres a cinco veces. Respecto a los tumores urológicos, destaca un aumento en la incidencia del Carcinoma renal, que se sitúa alrededor del 4,7%, siendo del 3% en la población general. Presentamos el caso de una paciente de 56 años, a quien se le realizó un trasplante renal 8 años antes. Se diagnostica, de forma incidental, de una masa de 3 cm a nivel de cara posterior del riñón trasplantado, sugestiva de neoplasia renal. Dadas las características de la lesión, de la paciente y por el buen funcionamiento del injerto, se propone como tratamiento la nefrectomía parcial vía laparoscópica del riñón trasplantado, mediante un acceso transperitoneal. La paciente fue dada de alta a los 6 días de la cirugía, con una cifra de Creatinina de 106 mol/L y un filtrado glomerular de 60 mL/min. La anatomía patológica de la pieza fue un Carcinoma papilar tipo II, pt1ag3, con márgenes libres de tumor. Las técnicas conservadoras como la nefrectomía parcial, la crioterapia y la ablación por radiofrecuencia, pueden ser útiles y deben considerarse cuando se pretende preservar la función renal, sobretodo en caso de tumores bilaterales o monorrenos, y en tumores pequeños y/o excéntricos. Las neoplasias renales no implican necesariamente la pérdida del injerto y permiten un manejo similar al del enfermo no trasplantado, aplicando, en casos seleccionados, técnicas conservadoras</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">There is an increasement on the incidence of tumours within the population of renal transplanted, from three to five times over general population. Related to urological tumours, it emphasizes an increase in the incidence of the renal Carcinoma, around 4,7% against 3% on general population. In this case, we present a 56 year old patient, who suffered a renal transplant 8 years ago. Incidentally, it is diagnosed a 3 cm mass at the back face of the transplanted kidney, suggestive of renal neoplasm. Given the characteristics of the mass, of the patient and because of the good graft function, we propose the non-sparing surgery of the transplanted kidney as treatment. The patient went back home 6 days after the surgery, with a Creatinine value of 106 mol/L. The pathology of the piece was a papilar Carcinoma, type II, pt1ag3, free margins of tumour. The non-sparing techniques like the partial nephrectomy, the criotherapy and the radiofrequency ablation, can be useful and must be considered when it is tried to preserve the renal function, overall in case of bilateral tumours or solitary kidney, and in small and/or eccentric tumours. Renal neoplasms necessarily does not imply the loss of the graft and allows a similar handling to transplanted patient, applying conservative techniques in selected cases.</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" => "Cancers in renal Transplant recipients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "I. Penn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Adv Ren Replace Ther" "fecha" => "2000" "volumen" => "7" "paginaInicial" => "147" "paginaFinal" => "156" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10782732" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Post-Transplant malignancy: the role of immunosuppression" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "I. Penn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Drug Saf" "fecha" => "2000" "volumen" => "23" "numero" => "2" "paginaInicial" => "101" "paginaFinal" => "113" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10945373" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Occurrence of cancers in immunosuppressed organ transplant recipients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "I. Penn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Clin Transplant" "fecha" => "1998" "volumen" => "12" "paginaInicial" => "147" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Genitourinary Malignancies in Solid Organ Transplant Recipients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Muruve" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Transplantation" "fecha" => "2005" "volumen" => "80" "numero" => "6" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16041280" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Successful surgical treatment of renal cell carcinoma in a transplanted kidney from a cadaveric donor: report of a case" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Y. Gunji" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s005950170165" "Revista" => array:7 [ "tituloSerie" => "Surg Today" "fecha" => "2001" "volumen" => "31" "numero" => "4" "paginaInicial" => "374" "paginaFinal" => "377" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11321354" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Papillay renal cell carcinoma in allograft kidney" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C. Roy" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00330-004-2414-1" "Revista" => array:6 [ "tituloSerie" => "Eur Radiol" "fecha" => "2005" "volumen" => "15" "paginaInicial" => "661" "paginaFinal" => "665" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15378336" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Carcinoma papilar hallado en injerto renal tras 13 años de correcto funcionamiento" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "P. Serrano Frago" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Actas Urol Esp" "fecha" => "2006" "volumen" => "30" "numero" => "8" "paginaInicial" => "829" "paginaFinal" => "831" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17078581" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Renall Cell Carcinoma in Kidney Allografts: A case Series from a Single Center" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "A. Barama" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1600-6143.2005.01099.x" "Revista" => array:6 [ "tituloSerie" => "American Journal of Transplantation" "fecha" => "2005" "volumen" => "5" "paginaInicial" => "3015" "paginaFinal" => "3018" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16303018" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nephron-Sparing Surgery for De Novo Renal Cell Carcinoma in Allograft Kidneys" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "S.M. Moudoni" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Transplantation" "fecha" => "2005" "volumen" => "80" "paginaInicial" => "865" "paginaFinal" => "867" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16210977" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Partial nephrectomy for renal cell carcinoma in longterm renal allografts: operative and post-operative considerations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Cox" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Can J Urol" "fecha" => "2005" "volumen" => "12" "numero" => "6" "paginaInicial" => "2887" "paginaFinal" => "2890" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16401374" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ex vivo tumorectomy on transplanted kidney" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S. Genevois" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Transplantation" "fecha" => "2005" "volumen" => "80" "numero" => "11" "paginaInicial" => "1636" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16371938" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nephron-Sparing surgery for renal tumor: a choice of treatment in an allograft kidney" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.J. Ribal" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.transproceed.2006.03.033" "Revista" => array:7 [ "tituloSerie" => "Transplant Proc" "fecha" => "2006" "volumen" => "38" "numero" => "5" "paginaInicial" => "1359" "paginaFinal" => "1362" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16797303" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sonographically guided percutaneous radio frequency ablation of a renal cell carcinoma in atransplant kidney" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.W. Charboneau" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Ultrasound Med" "fecha" => "2002" "volumen" => "21" "numero" => "11" "paginaInicial" => "1299" "paginaFinal" => "1302" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12418770" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Percutaneous ultrasound-guided radiofrequency ablation of recurrent renal cell carcinoma in renal allograft after partial nephrectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L. Goeman" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.urology.2005.07.029" "Revista" => array:6 [ "tituloSerie" => "Urology" "fecha" => "2006" "volumen" => "67" "numero" => "1" "paginaInicial" => "199" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16413371" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Percutaneous cryoablation of renal cell carcinoma in a transplanted kidney" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W.B. Shingleton" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "BJU Int" "fecha" => "2002" "volumen" => "90" "numero" => "1" "paginaInicial" => "137" "paginaFinal" => "138" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12081786" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ultrasound-guided percutaneous ablation of a renal mass in a renal allograft" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "G.W. Hruby" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.urology.2006.05.029" "Revista" => array:6 [ "tituloSerie" => "Urology" "fecha" => "2006" "volumen" => "68" "numero" => "4" "paginaInicial" => "891" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17070387" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02104806/0000003300000001/v1_201304251919/S0210480609740070/v1_201304251919/es/main.assets" "Apartado" => array:4 [ "identificador" => "6431" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Nota clínica" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02104806/0000003300000001/v1_201304251919/S0210480609740070/v1_201304251919/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609740070?idApp=UINPBA00004N" "pdfAlternativo" => array:1 [ 0 => array:3 [ "idioma" => "en" "documentoPdf" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/file/02104806/addon/S0210480609740070/S300/en/292v33n01a13143360pdf001_2.pdf" "portada" => "292v33n01a13143360pdf001_2.png" ] ] ]
