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array:24 [ "pii" => "S0210480609742056" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74205-6" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74205" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:667-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3675 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 2308 "PDF" => 1361 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609742068" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74206-8" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74206" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:670-80" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1959 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 934 "PDF" => 1020 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Complicaciones en cirugía laparoscópica renal en la edad pediátrica: análisis de nuestra experiencia y revisión de la literatura" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "670" "paginaFinal" => "680" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Complications in laparoscopy renal surgery in pediatric age: Analysis of our experience and literature review" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Alberto Pérez-Lanzac de Lorca, Andrés Gómez Fraile, Adolfo Aransay Bramtot, Daniel Cabezalí Brabancho, Francisco López Vázquez, Jesús Castiñeiras Fernández" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Alberto" "apellidos" => "Pérez-Lanzac de Lorca" ] 1 => array:2 [ "nombre" => "Andrés" "apellidos" => "Gómez Fraile" ] 2 => array:2 [ "nombre" => "Adolfo" "apellidos" => "Aransay Bramtot" ] 3 => array:2 [ "nombre" => "Daniel" "apellidos" => "Cabezalí Brabancho" ] 4 => array:2 [ "nombre" => "Francisco" "apellidos" => "López Vázquez" ] 5 => array:2 [ "nombre" => "Jesús" "apellidos" => "Castiñeiras Fernández" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742068?idApp=UINPBA00004N" "url" => "/02104806/0000003300000006/v1_201304251934/S0210480609742068/v1_201304251934/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609742044" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74204-4" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74204" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:654-66" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1700 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 915 "PDF" => 778 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Guía para el análisis crítico de ensayos clínicos en urología" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "654" "paginaFinal" => "666" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Guideline on critical analysis of urologist clinical trials" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Félix Millán Rodríguez" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Félix" "apellidos" => "Millán Rodríguez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742044?idApp=UINPBA00004N" "url" => "/02104806/0000003300000006/v1_201304251934/S0210480609742044/v1_201304251934/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Tratamiento laparoscópico de la ureterolitiasis: nuestra experiencia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "667" "paginaFinal" => "669" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Danilo Borges Matias, Ricardo Gonçalves Alvim, Mateus Ribas, Bruno Pierote de Oliveira, Otto H. Torres Chaves" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Danilo" "apellidos" => "Borges Matias" "email" => array:1 [ 0 => "danilomatiass@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Ricardo" "apellidos" => "Gonçalves Alvim" ] 2 => array:2 [ "nombre" => "Mateus" "apellidos" => "Ribas" ] 3 => array:2 [ "nombre" => "Bruno" "apellidos" => "Pierote de Oliveira" ] 4 => array:2 [ "nombre" => "Otto H." "apellidos" => "Torres Chaves" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología. Hospital Universitario São José, Belo Horizonte, Minas Gerais, Brasil" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Danilo Borges Matias Servicio de Urología. Hospital Universitario São José Calle Aimorés, 2896, Santo Agostinho. CEP 30140-073 Belo Horizonte, Minas Gerais, Brasil Tel.: +55 31 3299 8128" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Laparoscopic treatment of ureterolithiasis: our experience" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-02-01" "fechaAceptado" => "2009-03-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88990" "palabras" => array:5 [ 0 => "Laparoscopia" 1 => "Litiasis ureteral" 2 => "Ureterolitotomía" 3 => "Extracción de cálculo" 4 => "Retroperitoneoscopia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88989" "palabras" => array:5 [ 0 => "Laparoscopy" 1 => "Ureteral calculi" 2 => "Ureterolithotomy" 3 => "Stone extraction" 4 => "Retroperitoneoscopy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar detalles técnicos y resultados del tratamiento laparoscópico de la ureterolitiasis.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En el periodo de enero de 2005 a agosto de 2008, han sido realizadas 22 ureterolitotomías laparoscópicas (UL) en nuestro servicio; dos (9%) han sido por acceso retroperitoneal y 20 (91%) por acceso transperitoneal. La media de tamaño del cálculo fue de 15 mm, variando de 8 a 23 mm, y los cálculos estaban en uréter proximal en 18 pacientes (81,8%), uréter mediano en 4 pacientes (18,2%) y ninguno en uréter distal. La mayoría de los cálculos eran obstructivos hacía más de dos meses. Ocho pacientes han sido sometidos a sesiones previas de litotricia extracorpórea por ondas de choque y 2 a litotricia extracorpórea con ureterolitotricia en el intento de tratamiento de los cálculos. Doce pacientes han tenido ureterolitotomía laparoscópica como indicativo primario de tratamiento.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La ureterolitotomía laparoscópica alcanzó éxito en 20 pacientes (90,9%), ocurriendo fallos al inicio de nuestra experiencia. La media de tiempo operatorio fue de 145 minutos, variando de 70 a 240. Fue utilizado catéter doble j en 3 casos, siendo 2 en el preoperatorio y 1 en el postoperatorio. La sutura ureteral ha sido realizada con hilo absorbible 4.0, con puntos separados en todos los pacientes. La media global de permanencia hospitalaria fue de 3,3 días y la de tiempo de permanencia del dreno fue de 7,2 días. La tasa global de complicaciones fue el 13,6% y la de pacientes sin cálculo residual fue el 91%, habiendo litiasis residual en 2 pacientes.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El tratamiento laparoscópico de la litiasis ureteral, además de mínimamente invasivo, es viable, seguro y bastante eficaz. Debe de ser considerado como un procedimiento de salvamento para la litotricia extracorpórea por ondas de choque y ureterolitotricia. Sin embargo, en casos en los que hay cálculos obstructivos desde hace mucho tiempo, en pacientes seleccionados y, especialmente, en aquellos con riñón único, puede ser considerado como tratamiento de primera línea. En cuanto a la vía de acceso; si retroperitoneal o transperitoneal; todavía no se puede afirmar cual sería la mejor, y la opción entre una u otra debe de ser realizada de acuerdo con la preferencia y experiencia del cirujano.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Analyze technical details and results of laparoscopic treatment of ureterolithiasis.</p> <span class="elsevierStyleSectionTitle">Materials and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Between January 2005 and August 2008 it was performed laparoscopic ureterolithotomy in 22 patients in our service. Two (9%) by retroperitoneal access and 20 (91%) by transperitoneal access. Mean size of the calculi was 15 mm. with a variation from 8 mm to 23 mm. The calculus were in the upper tract in 18 patients (81,8%) and in mid ureter in 4 patients (18,2), any of the calculus were in lower ureter. Most of calculi were obstructive stones for more than 2 months. Eight patients were submited a previous section of extracorporeal shockwave lithotripsy and 2 by extracorporeal shockwave lithotripsy plus ureterolithotripsy as a calculi treatment attempt. Twelve patients had a laparoscopic ureterolithotomy as a primary indication for treatment.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Laparoscopic ureterolithotomy was successful for 20 patients (90,9%), and the fails occurred in the beginning of our experiment. Mean operative time was 145 minutes with range from 70 to 240 minutes. The indwelling ureteral stent was used in 03 cases; 02 preoperative, and 01 postoperative. The ureteral suture was performed with absorbable 4.0 separated stitches in all patients. The global average of permanence in hospital was 3,3 days and the drain permanence was 7,2 days. The global complication rate was 13,6%. The global rate of stone free was 91%, and there were residual stone in 2 patients.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The laparoscopic treatment of ureterolithiasis besides minimally invasive, it is viable, secure and very effective. It should have taken into consideration as a procedure to extracorporeal shockwave lithotripsy and ureteroscopy. But, in cases where there are obstructive stones for a long time, in selected patients and, in special, in patients with just one kidney, it can be considered as a first line treatment. About the access, if retroperitoneal or transperitoneal; it is not still possible to affirm which would be the best one, the option must take into account the surgeon preference and experience.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The Surgical Treatment of Urinary Lithiasis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.E.A. Wickham" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Urinary Calculus Disease" "paginaInicial" => "145" "paginaFinal" => "198" "serieFecha" => "1979" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." 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Pope" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Br J Urol" "fecha" => "1994" "volumen" => "74" "numero" => "2" "paginaInicial" => "170" "paginaFinal" => "176" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7921933" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02104806/0000003300000006/v1_201304251934/S0210480609742056/v1_201304251934/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/02104806/0000003300000006/v1_201304251934/S0210480609742056/v1_201304251934/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609742056?idApp=UINPBA00004N" "pdfAlternativo" => array:1 [ 0 => array:3 [ "idioma" => "en" "documentoPdf" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/file/02104806/addon/S0210480609742056/S300/en/292v33n06a13143233pdf001_2.pdf" "portada" => "292v33n06a13143233pdf001_2.png" ] ] ]
