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Velasco Palma, E. Riquelme Sánchez, M. Schulze Maroto, L. Villarroel del Pino, F.S. Leach" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Velasco Palma" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Riquelme Sánchez" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Schulze Maroto" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "Villarroel del Pino" ] 4 => array:2 [ "nombre" => "F.S." "apellidos" => "Leach" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021048060573223X?idApp=UINPBA00004N" "url" => "/02104806/0000002900000002/v1_201304251746/S021048060573223X/v1_201304251746/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480605732216" "issn" => "02104806" "doi" => "10.1016/S0210-4806(05)73221-6" "estado" => "S300" "fechaPublicacion" => "2005-01-01" "aid" => "73221" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2005;29:179-89" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1036 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 690 "PDF" => 339 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Valoración de factores pronósticos de la supervivencia en una serie de 202 pacientes intervenidos por carcinoma de células renales" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "179" "paginaFinal" => "189" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Survival prognostic factors valuation on a series of 202 patients with surgical treatment of renal cell carcinoma" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Ortiz Gorraiz, F.J. Vicente Prados, J.L. Rosales Leal, B. Honrubia Vílchez, A. Martínez Morcillo, J.M. Cózar Olmo, E. Espejo Maldonado, M. Tallada Buñuel" "autores" => array:8 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Ortiz Gorraiz" ] 1 => array:2 [ "nombre" => "F.J." "apellidos" => "Vicente Prados" ] 2 => array:2 [ "nombre" => "J.L." "apellidos" => "Rosales Leal" ] 3 => array:2 [ "nombre" => "B." "apellidos" => "Honrubia Vílchez" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Martínez Morcillo" ] 5 => array:2 [ "nombre" => "J.M." "apellidos" => "Cózar Olmo" ] 6 => array:2 [ "nombre" => "E." "apellidos" => "Espejo Maldonado" ] 7 => array:2 [ "nombre" => "M." "apellidos" => "Tallada Buñuel" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480605732216?idApp=UINPBA00004N" "url" => "/02104806/0000002900000002/v1_201304251746/S0210480605732216/v1_201304251746/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Papel de la nefrectomía en el adenocarcinoma renal metastático: experiencia del Servicio de Urología del Hospital Juan Canalejo" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "190" "paginaFinal" => "197" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Blanco Díez, E. Fernández Rosado, G. Suárez Pascual, I. Rodríguez Gómez, M.L. Ruibal Moldes, S. Novás Castro, F. Gómez Veiga, L. Álvarez Castelo, A. Barbagelata López, I. Ponce Díaz-Reixa, M. González Martín" "autores" => array:11 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Blanco Díez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Fernández Rosado" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Suárez Pascual" ] 3 => array:2 [ "nombre" => "I." "apellidos" => "Rodríguez Gómez" ] 4 => array:2 [ "nombre" => "M.L." "apellidos" => "Ruibal Moldes" ] 5 => array:2 [ "nombre" => "S." "apellidos" => "Novás Castro" ] 6 => array:2 [ "nombre" => "F." "apellidos" => "Gómez Veiga" ] 7 => array:2 [ "nombre" => "L." "apellidos" => "Álvarez Castelo" ] 8 => array:2 [ "nombre" => "A." "apellidos" => "Barbagelata López" ] 9 => array:2 [ "nombre" => "I." "apellidos" => "Ponce Díaz-Reixa" ] 10 => array:2 [ "nombre" => "M." "apellidos" => "González Martín" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología. Complejo Hospitalario Universitario Juan Canalejo. La Coruña" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Dr. A. Blanco Díez Calle El Reventón, 23 Monte Lentiscal 35310 Las Palmas de Gran Canaria." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Role Of Nephrectomy In Metastatic Renal Cell Carcinoma. Experience Of The Department Of Urology Juan Canalejo Hospital" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-09-06" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec87410" "palabras" => array:4 [ 0 => "Cáncer renal" 1 => "Metástasis" 2 => "Nefrectomía" 3 => "Cirugía" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec87409" "palabras" => array:4 [ 0 => "Renal cancer" 1 => "Metastasis" 2 => "Nephrectomy" 3 => "Surgery" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentar nuestra experiencia en la realización de nefrectomía en umores renales que se presentan con metástasis al diagnóstico, y observar las complicaciones, evolución y supervivencia de estos pacientes.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Realizamos una revisión retrospectiva de los adenocarcinomas renales en el período entre 1-1- 1991 y 31-12-2002. Estudiamos solamente los que se presentaron con metástasis (31). Se estudian aquellos pacientes a los que se les practicó nefrectomía y aquellos a los que no se les ofreció tratamiento quirúrgico. Buscamos mostrar las diferencias en los dos grupos en cuanto a status vital (Tabla E.C.O.G.), patología concomitante y supervivencia media. En el grupo de los pacientes nefrectomizados estudiamos las complicaciones derivadas de la intervención y el tratamiento posterior.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Realizamos nefrectomía en 19 casos. Todos ellos E.C.O.G. 0-1. La stancia post operatoria media fue de 12 días, y la tasa de complicaciones 11,5%. El 45% de estos pacientes siguieron algún tipo de tratamiento posterior, y la supervivencia media fue de 31 meses. No se realizó nefrectomía en 12 casos, de los cuales 9 eran E.C.O. G 2-3. La patología asociada que presentaban estos pacientes era más importante que en el primer grupo. Sólo en 3 casos se administró tratamiento con fines paliativos y la supervivencia media fue de 3,8 meses.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En pacientes con buen estado vital la nefrectomía no representa más morbilidad ni mortalidad que en los pacientes sin metástasis, y nos parece una opción fundamental en su manejo. Realizamos una revisión bibliográfica en la que recogemos las últimas tendencias en el tratamiento de estos pacientes, que ponen de manifiesto la necesidad del abordaje combinado quirúrgico e inmunoterápico. Nos parecen de interés fundamental las conclusiones de los estudios del SWOG y del EORTC.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We expose our experience in nephrectomy in metastatic renal cell carcinoma, and also show complications, evolution and survival of these patients.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We performe a retrospective review of renal cell carcinomaes treated at our service in the period between January 1st 1991 and December 31st 2002. We only studied those which presented in a metastatic pattern (31), and divide these in two groups: the ones which were nephrectomized and those which were not. We try to showw the diferences between the two groups in order of status performance (E.C.O.G.), associated morbidity and median survival. In the first group we also study complications of surgery and treatment that patients underwent.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">we performed nephrectomy in 19 cases, all of them E.C.O.G. 0-1. Median postoperative stay was 12 days, and complication rate was 11.5%. Of these patients, 45% underwent some tipe of systemic treatment, and median survival was 31 months. We didn´t performed nephrectomy in 12 patients, of which 9 were E.C.O.G. 2-3. Asociated co-morbidity was higher in this group. Only in three patients any treatment was offerted always with paliative reason. Median survival was 3.8 months.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">In those patients with good performance status this aproach does not represent more morbility nor mortality than in non- metastatic patients, and that is a cornerstone in their management. We also make a literature review in wich we see the last pathways in the managemente of these patients, and that show the needing for a conbined aproach both quirurgical and inmunotherapical. We have review with special interest the studie’s conclusions of SWOG and EORTC groups.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:21 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgery for metastatic renal cell carcinoma: a matter of attitude?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "G.H. Mickisch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Urol Clin North Am" "fecha" => "1999" "volumen" => "51" "paginaInicial" => "39" "paginaFinal" => "43" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The natural history of metastatic renal carcinoma: a computer analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.B. Dekernion" 1 => "K.P. Ramming" 2 => "R.B. Smith" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Urol" "fecha" => "1978" "volumen" => "120" "paginaInicial" => "148" "paginaFinal" => "152" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/78992" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cytoreductive nephrectomy: is it a realistic option in patients with renal cancer?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E. Bromwich" 1 => "D. Hendry" 2 => "M. Aitchison" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "BJU Int" "fecha" => "2002" "volumen" => "89" "paginaInicial" => "523" "paginaFinal" => "525" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11942956" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nephrectomy followed by interferon alfa 2-b compared with interferon alfa 2.b alone for metastatic renal cell cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:9 [ 0 => "R.C. Flanigan" 1 => "S.E. Salmon" 2 => "B.A. Blumenstein" 3 => "S.I. Bearman" 4 => "V. Roy" 5 => "P.C. McGrath" 6 => "J.R. Jr Caton" 7 => "N. Munshi" 8 => "E.D. Crawford" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "N Eng J Med" "fecha" => "2001" "volumen" => "345" "paginaInicial" => "1655" "paginaFinal" => "1659" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Radical nephrectomy plus interferon-alfa-based inmunotherapy compared with interferon alfa alone in metastatic renal cell carcinoma: a randomised trial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "G.H. Mickisch" 1 => "A. Garin" 2 => "H. Van Poppel" 3 => "L. De Prijck" 4 => "R. Sylvester" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(01)06113-X" "Revista" => array:6 [ "tituloSerie" => "Lancet" "fecha" => "2001" "volumen" => "358" "paginaInicial" => "948" "paginaFinal" => "949" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11583744" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cytoreductive nephrectomy in metastatic renal cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.C. Flanigan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Curr Urol Rep" "fecha" => "2003" "volumen" => "4" "paginaInicial" => "36" "paginaFinal" => "40" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12537937" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nephrectomy in metastatic renal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S.C. Campbell" 1 => "R.C. Flanigan" 2 => "J.I. Clark" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Curr Treat Options Oncol" "fecha" => "2003" "volumen" => "4" "paginaInicial" => "363" "paginaFinal" => "372" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12941196" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cytoreductive surgery in the management of metastatic renal cell carcinoma: the UCLA experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.R. Franklin" 1 => "R. Figlin" 2 => "J. Rauch" 3 => "B. Gitlitz" 4 => "A. Belldegrun" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Semin Urol Oncol" "fecha" => "1996" "volumen" => "14" "paginaInicial" => "230" "paginaFinal" => "236" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8946623" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Expanding the ndications for surgery and adyuvant interleukin-2 based inmunotherapy in patients with advanced renal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Belldegrun" 1 => "O. Shvarts" 2 => "R. Figlin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Cancer J Sci Am" "fecha" => "2000" "volumen" => "6" "numero" => "Suppl 1" "paginaInicial" => "88" "paginaFinal" => "92" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Number of metastatic sites rather than location dictates overall survival of patients with node-negative metastatic renal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "K.R. Han" 1 => "A.J. Pantuck" 2 => "M.H. Bui" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Urology" "fecha" => "2003" "volumen" => "61" "paginaInicial" => "314" "paginaFinal" => "319" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12597937" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nephrectomy for metastatic renal cell carcinoma: a component of systemic treatment regimens" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.S. Wolf" 1 => "F.R. Aronson" 2 => "E.J. Small" 3 => "P.R. Carroll" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Surg Oncol" "fecha" => "1994" "volumen" => "55" "paginaInicial" => "7" "paginaFinal" => "13" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8289458" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Potential role of nephrectomy in the treatment of metastatic renal cell carcinoma: a retrospective analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "V.S. Tigrani" 1 => "D.M. Reese" 2 => "E.J. Small" 3 => "J.C. Presti" 4 => "P.R. Carroll" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Urology" "fecha" => "2000" "volumen" => "55" "paginaInicial" => "36" "paginaFinal" => "40" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10654891" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The impact of adjuvant nephrectomy on multimodality treatment of metastatic renal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. Rackley" 1 => "A. Novick" 2 => "E. Klein" 3 => "R. Bukowski" 4 => "D. Mclain" 5 => "D. Goldfarb" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Urol" "fecha" => "1994" "volumen" => "152" "paginaInicial" => "1399" "paginaFinal" => "1403" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7933169" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A medical oncologis’t approach to inmunotherapy for advanced renal tumors: is nephrectomy indicated?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.M. Cooney" 1 => "S.C. Remick" 2 => "N.J. Vogelzang" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Curr Urol Rep" "fecha" => "2004" "volumen" => "5" "paginaInicial" => "19" "paginaFinal" => "24" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14733832" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The evolving role of cytoreductive surgery for metastatic renal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "U.B. Chaudhary" 1 => "G.W. Hull" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Oncology" "fecha" => "2003" "volumen" => "17" "paginaInicial" => "701" "paginaFinal" => "705" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12800795" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prognosis factors and the role of nephrectomy in metastatic renal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.C. Uygur" 1 => "A. Usubutun" 2 => "H. Ozen" 3 => "A. Ayhan" 4 => "S. Kendi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int Urol Nephrol" "fecha" => "1998" "volumen" => "30" "paginaInicial" => "681" "paginaFinal" => "687" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10195860" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nephrectomy for metastatic renal cell carcinoma: Indiana University experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Mosharafa" 1 => "M. Koch" 2 => "A. Shalhav" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Urology" "fecha" => "2003" "volumen" => "62" "paginaInicial" => "636" "paginaFinal" => "640" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14550433" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Renal cell carcinoma: should radical nephrectomy be performed be performed in th presence of metastatic disease?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "I.S. Sawczuk" 1 => "J.C. Pollard" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Curr Opin Urol" "fecha" => "1999" "volumen" => "9" "paginaInicial" => "377" "paginaFinal" => "381" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10579074" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Managemente of metastasic renal cell carcinoma. Comprehensive Textbook of Genitourinary Oncology. Ed" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "N.J. Vogelzang" 1 => "W.U. Shipley" 2 => "P.T. Scardino" 3 => "D.S. Coffey" 4 => "B.J. Miles" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:1 [ "serieFecha" => "1999" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cytoreductive nephrectomy in patients with metastatic renal cancer: a combined analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R.C. Flanigan" 1 => "G.H. Mickisch" 2 => "R. Sylvester" 3 => "C. Tangen" 4 => "H. Van Poppel" 5 => "E.D. Crawford" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/01.ju.0000110610.61545.ae" "Revista" => array:6 [ "tituloSerie" => "J Urol" "fecha" => "2004" "volumen" => "171" "paginaInicial" => "1071" "paginaFinal" => "1076" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14767273" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Debulking nephrectomy in metastatic renal cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.C. Flanigan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clin Cancer Res" "fecha" => "2004" "volumen" => "10" "paginaInicial" => "6335" "paginaFinal" => "6341" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02104806/0000002900000002/v1_201304251746/S0210480605732228/v1_201304251746/es/main.assets" "Apartado" => array:4 [ "identificador" => "6429" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02104806/0000002900000002/v1_201304251746/S0210480605732228/v1_201304251746/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480605732228?idApp=UINPBA00004N" ]
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