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array:23 [ "pii" => "S0210480608739743" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73974-3" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73974" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2008" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:968-75" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1287 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 830 "PDF" => 449 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480608739755" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73975-5" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73975" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:976-84" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1188 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 703 "PDF" => 480 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Características clínico-patológicas del carcinoma de células renales detectado incidentalmente mediante estudios radiológicos" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "976" "paginaFinal" => "984" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Clinicopathologic features of renal cell carcinoma incidentally detected through radiological studies" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "V. Bulnes Vázquez, M. Álvarez-Múgica, J.M. Fernández Gómez, E. Nava Tomás, A. Jalón Monzón, Á. Meilán Martínez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Bulnes Vázquez" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Álvarez-Múgica" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Fernández Gómez" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Nava Tomás" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Jalón Monzón" ] 5 => array:2 [ "nombre" => "Á." "apellidos" => "Meilán Martínez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739755?idApp=UINPBA00004N" "url" => "/02104806/0000003200000010/v1_201304251917/S0210480608739755/v1_201304251917/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480608739731" "issn" => "02104806" "doi" => "10.1016/S0210-4806(08)73973-1" "estado" => "S300" "fechaPublicacion" => "2008-01-01" "aid" => "73973" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2008;32:961-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1141 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 714 "PDF" => 421 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Características clínicas e histopatológicas del cáncer de próstata diagnosticado a partir de la tercera biopsia" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "961" "paginaFinal" => "967" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Clinical features and histopathology of prostate cancer diagnosed from the third biopsy" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.P. Bahílo Mateu, M. Ramírez Backhaus, M. Trassierra Villa, C. Di Capua Sacoto, S. Arlandis Guzmán, J.F. Jiménez Cruz" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M.P." "apellidos" => "Bahílo Mateu" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Ramírez Backhaus" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Trassierra Villa" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Di Capua Sacoto" ] 4 => array:2 [ "nombre" => "S." "apellidos" => "Arlandis Guzmán" ] 5 => array:2 [ "nombre" => "J.F." "apellidos" => "Jiménez Cruz" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480608739731?idApp=UINPBA00004N" "url" => "/02104806/0000003200000010/v1_201304251917/S0210480608739731/v1_201304251917/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Prostatectomía radical: comparación de los resultados obtenidos durante las curvas de aprendizaje de la técnica laparoscópica pura y de la técnica asistida por robot con la prostatectomía radical retropúbica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "968" "paginaFinal" => "975" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.P. Caballero Romeu, J. Palacios Ramos, J.G. Pereira Arias, M. Gamarra Quintanilla, A. Astobieta Odriozola, G. Ibarluzea González" "autores" => array:6 [ 0 => array:4 [ "nombre" => "J.P." "apellidos" => "Caballero Romeu" "email" => array:1 [ 0 => "juanpablocaballero@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Palacios Ramos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "J.G." "apellidos" => "Pereira Arias" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "M." "apellidos" => "Gamarra Quintanilla" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "A." "apellidos" => "Astobieta Odriozola" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 5 => array:3 [ "nombre" => "G." "apellidos" => "Ibarluzea González" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Urología del Hospital General Universitario de Alicante, Alicante." "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Urología del Hospital de Galdakao Usansolo, Vizcaya." "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Grupo Urología Clínica, Clínica de la Virgen Blanca, Bilbao, Vizcaya." "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. J.P. Caballero Romeu Servicio de Urología Hospital General Universitario de Alicante Pintor Baeza, s/n - 03010 Alicante Tel.: 965 938 310" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Radical prostatectomy: evaluation of learning curve outcomes laparoscopic and robotic-assisted laparoscopic techniques with radical retropubic prostatectomy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-06-01" "fechaAceptado" => "2008-07-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88733" "palabras" => array:7 [ 0 => "Cáncer de próstata" 1 => "Laparoscopia" 2 => "Morbilidad" 3 => "Prostatectomía radical retropúbica" 4 => "Incontinencia urinaria" 5 => "Complicaciones intraoperatorias" 6 => "sangrado intraoperatorio" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88734" "palabras" => array:8 [ 0 => "Prostate cancer" 1 => "Laparoscopy" 2 => "Morbidity" 3 => "Radical retropubic prostatectomy" 4 => "Urinary incontinence" 5 => "Intraoperative complications" 6 => "Blood Loss" 7 => "Surgical" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La prostatectomía radical retropúbica (PRR) es el patrón oro para el tratamiento quirúrgico del cáncer de próstata organoconfinado. Se están desarrollando técnicas quirúrgicas menos invasivas, como prostatectomía radical laparoscópica (PRL) y la prostatectomía radical asistida por robot (PRAR). El objetivo del estudio es comparar los resultados de la curva de aprendizaje de la PRL y de la PRAR con los de la PRR, especialmente la duración de la intervención quirúrgica.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Realizamos un estudio observacional retrospectivo Seleccionamos todas las PRR desde Enero de 2000, todas las PRL realizadas en el Hospital de Galdakao y las primeras 60 PRAR realizadas por el Grupo de Urología Clínica. Se evaluaron los parámetros operatorios y perioperatorios y las complicaciones quirúrgicas, comparando posteriormente las tres técnicas.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La duración de la intervención fue de 210 min en la PRR, 345 min en la PRL y 210 en la PRAR (p < 0,001). El sangrado intraoperatorio fue de 1500 ml en la PRR, 1275 ml en la PRL y 400 ml en la PRAR (p < 0,001). A los 6 meses de la intervención la tasa de continencia era del 60% en el grupo de PRAR, del 45,90% en el grupo de PRR y del 36,40% en el grupo de PRL (p = 0,001).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La PRL requiere un aprendizaje más largo que la PRAR. La PRAR nos ha permitido terminar la intervención en el mismo tiempo que la PRR. En nuestro medio la PRAR demostró ser beneficiosa en términos de estancia postquirúrgica y de sangrado.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction/objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Radical retropubic prostatectomy (RRP) is the gold standard for the surgical treatment of localized prostate cancer. New techniques are being developed with less invasive methods, including laparoscopic radical prostatectomy (LRP) and robotic-assisted laparoscopic radical prostatectomy (RALP). The aim of the study is to compare LRP and RALP outcomes during the learning curve with RRP, especially operative time and surgical complications.</p> <span class="elsevierStyleSectionTitle">Material and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We performed a retrospective observational study of all the RRP cases attended from January 2000, all the LRPs performed at the Urology Department of the Galdakao Usansolo Hospital and the first 60 RALPs treated by the Clínic Urology group. Baseline parameters, operative and perioperative parameters (nerve preservation, positive margins, intraoperative bleeding, duration of catheterization, hospital stay) and surgical complications were assessed, and the three techniques were compared.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The total number of patients was 192. The mean time operation was of 210 min in the RRP group, 345 min in the LRP group and 209.5 min in the RALP group (p = 0). Intraoperative bleeding was of 1500 mL in RRP, 1275 mL in LRP and 400 mL in RALP (p = 0) (Table 1). Six months after the procedure the continence rate was 60% in the RALP group, 45.90% in the RRP group and 36.40% in the group LRP (p = 0.001) (Table 2).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Laparoscopic radical prostatectomy requires a longer learning curve than robotic-assisted prostatectomy. Operative time in RALP procedures was comparable to RRP cases. RALP showed benefits in terms of continence and intraoperative bleeding.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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