Nefrectomía parcial en el carcinoma de células renales
M.A. López-costea, C. González-satué1, E. Franco miranda, S. Arbelaez arango, L. Riera canals, J.M. Prats de puig, N. Serrallach mila
Servicio de Urología. Ciutat Sanitaria i Universitaria de Bellvitge (CSUB). Barcelona
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array:22 [ "pii" => "S0210480601726563" "issn" => "02104806" "doi" => "10.1016/S0210-4806(01)72656-3" "estado" => "S300" "fechaPublicacion" => "2001-01-01" "aid" => "72656" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2001" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2001;25:482-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1024 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 705 "PDF" => 311 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480601726575" "issn" => "02104806" "doi" => "10.1016/S0210-4806(01)72657-5" "estado" => "S300" "fechaPublicacion" => "2001-01-01" "aid" => "72657" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2001;25:489-92" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1451 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 963 "PDF" => 481 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "La enterocistoplastia en el tratamiento de la cistitis intersticial" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "489" "paginaFinal" => "492" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "N. Chesa ponce, J. Armas molina, J.L. Artiles hernández, D. Martín betancor, C. García serrano, C. Jiménez garcía, R. Betancort de león" "autores" => array:7 [ 0 => array:2 [ "nombre" => "N." "apellidos" => "Chesa ponce" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Armas molina" ] 2 => array:2 [ "nombre" => "J.L." "apellidos" => "Artiles hernández" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Martín betancor" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "García serrano" ] 5 => array:2 [ "nombre" => "C." "apellidos" => "Jiménez garcía" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "Betancort de león" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480601726575?idApp=UINPBA00004N" "url" => "/02104806/0000002500000007/v1_201304251639/S0210480601726575/v1_201304251639/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Nefrectomía parcial en el carcinoma de células renales" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "482" "paginaFinal" => "488" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.A. López-costea, C. González-satué, E. Franco miranda, S. Arbelaez arango, L. Riera canals, J.M. Prats de puig, N. Serrallach mila" "autores" => array:7 [ 0 => array:2 [ "nombre" => "M.A." "apellidos" => "López-costea" ] 1 => array:3 [ "nombre" => "C." "apellidos" => "González-satué" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Franco miranda" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Arbelaez arango" ] 4 => array:2 [ "nombre" => "L." "apellidos" => "Riera canals" ] 5 => array:2 [ "nombre" => "J.M." "apellidos" => "Prats de puig" ] 6 => array:2 [ "nombre" => "N." "apellidos" => "Serrallach mila" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología. Ciutat Sanitaria i Universitaria de Bellvitge (CSUB). Barcelona" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Dr. C. González Satué Castelao, 24 – ático 08902 Hospitalet de Llobregat (Barcelona)" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-03-08" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec86430" "palabras" => array:4 [ 0 => "Carcinoma renal" 1 => "Cirugía conservadora" 2 => "Tumorectomía" 3 => "Isquemia renal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec86429" "palabras" => array:4 [ 0 => "Renal cell carcinoma" 1 => "Nephron sparing surgery" 2 => "Tumorectomy" 3 => "Renal ischaemia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción y objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El carcinoma de células renales representa el 3% de todas las neoplasias. El incremento del diagnóstico incidental de tumores pequeños ha favorecido la aplicación de técnicas de cirugía renal conservadora aún en pacientes con riñón contralateral normal. Nos interesa analizar de los resultados de la aplicación de la cirugía parcial por tumor renal en la última década</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se realiza un estudio retrospectivo de todas las cirugías parciales por tumor renal. Se diferencia entre cirugía electiva (menos de 4 cm con riñón contralateral normal) y cirugía obligada (el resto de los casos)</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Desde 1990 hasta 2000 se han efectuado 65 cirugías parcelares sobre 436 intervenciones por masa renal (14,9%). 43 pacientes tenían indicación electiva y 22 obligada. Edad media 59,1 años (desviación standard: 11,7), tamaño medio del tumor 3,4 (± 1,4 cm), se requirieron una media de 9,2 (± 7) días de ingreso. Se utilizó isquemia renal normotérmica en todos los casos con un tiempo de isquemia medio de 25,7 min. Nueve tumores (13,8%) fueron benignos. Morbilidad: 10,8% y mortalidad: 1,5%. Seguimiento medio: 37,4 meses. A los 3 años la supervivencia cáncer-específica es 98,4% y la supervivencia global 90,3%</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La cirugía parcial renal en el tratamiento del tumor renal es una alternativa válida para tumores de menos de 4 cm, exorenales con riñón contralateral normal, igualmente es una técnica efectiva y resolutiva para aquellos pacientes monorenos o con riesgo de insuficiencia renal en el post-operatorio</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction and objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Renal Cell Carcinoma (RCC) represents 3% of all neoplasm. The growing incidental diagnosis of small renal tumor has allowed the application of nephron sparing surgery (NSS), even in those cases with a normal contralateral kidney. We present the results of NSS at our center in the last decade</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A retrospective analysis of all NSS that were made at our center in cases of renal masses. Difference is made between elective surgery (tumors less than 4 cm with a normal contralateral kidney) and obligatory surgery (all other cases)</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">From 1990 since 2000 a total of 65 NSS were made from a total of 436 surgeries for renal tumors (14,9%). In 22 patients NSS was obligatory, while in 43 was elective. Mean (SD) age was 59,1 years (± 11,7), mean tumor size 3,4 cm (± 1,4), mean hospital staying was 9,2 days (± 7). Renal normothermic ischaemia was use during surgery in all cases, with a mean ischaemic time of 25,7 min. Nine tumors (13,8%) were benign. Morbidity: 10,8%. Mortality: 1,5%. The cancer specific survival at 36 months of follow-up (mean 37,4) is 98,4% and global survival is 90,3%</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Nephron Sparing Surgery is a valid alternative in the treatment of RCC, specially for tumors less than 4 cm in diameter and having a normal contralateral kidney; NSS is also an effective technique for patients bearing renal tumors in a solitary kidney</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:31 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
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| 2024 Octubre | 0 | 6 | 6 |
| 2024 Septiembre | 0 | 5 | 5 |
| 2024 Agosto | 0 | 10 | 10 |
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| 2023 Agosto | 0 | 2 | 2 |
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| 2023 Junio | 0 | 5 | 5 |
| 2023 Mayo | 0 | 2 | 2 |
| 2023 Abril | 0 | 5 | 5 |
| 2023 Marzo | 1 | 4 | 5 |
| 2023 Febrero | 0 | 3 | 3 |
| 2023 Enero | 0 | 6 | 6 |
| 2022 Diciembre | 0 | 8 | 8 |
| 2022 Noviembre | 0 | 13 | 13 |
| 2022 Octubre | 0 | 10 | 10 |
| 2022 Agosto | 0 | 4 | 4 |
| 2022 Julio | 0 | 4 | 4 |
| 2022 Junio | 0 | 5 | 5 |
| 2022 Mayo | 0 | 3 | 3 |
| 2022 Abril | 0 | 3 | 3 |
| 2022 Febrero | 0 | 1 | 1 |
| 2022 Enero | 0 | 1 | 1 |
| 2021 Noviembre | 0 | 3 | 3 |
| 2021 Octubre | 0 | 1 | 1 |
| 2021 Julio | 0 | 2 | 2 |
| 2021 Junio | 0 | 1 | 1 |
| 2021 Mayo | 0 | 2 | 2 |
| 2021 Abril | 0 | 5 | 5 |
| 2021 Marzo | 0 | 2 | 2 |
| 2021 Febrero | 0 | 5 | 5 |
| 2021 Enero | 0 | 2 | 2 |
| 2020 Diciembre | 0 | 3 | 3 |
| 2020 Noviembre | 0 | 2 | 2 |
| 2020 Octubre | 0 | 5 | 5 |
| 2020 Septiembre | 0 | 1 | 1 |
| 2020 Agosto | 0 | 6 | 6 |
| 2020 Julio | 0 | 2 | 2 |
| 2020 Junio | 0 | 7 | 7 |
| 2020 Mayo | 0 | 6 | 6 |
| 2020 Marzo | 0 | 6 | 6 |
| 2020 Febrero | 0 | 3 | 3 |
| 2020 Enero | 0 | 10 | 10 |
| 2019 Diciembre | 0 | 12 | 12 |
| 2019 Octubre | 0 | 1 | 1 |
| 2019 Septiembre | 0 | 3 | 3 |
| 2019 Agosto | 0 | 2 | 2 |
| 2019 Julio | 0 | 13 | 13 |
| 2019 Junio | 0 | 19 | 19 |
| 2019 Mayo | 0 | 29 | 29 |
| 2019 Abril | 0 | 3 | 3 |
| 2018 Enero | 5 | 1 | 6 |
| 2017 Diciembre | 1 | 0 | 1 |
| 2017 Noviembre | 5 | 2 | 7 |
| 2017 Octubre | 6 | 1 | 7 |
| 2017 Septiembre | 4 | 4 | 8 |
| 2017 Agosto | 3 | 0 | 3 |
| 2017 Julio | 3 | 1 | 4 |
| 2017 Junio | 12 | 2 | 14 |
| 2017 Mayo | 14 | 3 | 17 |
| 2017 Abril | 16 | 1 | 17 |
| 2017 Marzo | 17 | 34 | 51 |
| 2017 Febrero | 16 | 4 | 20 |
| 2017 Enero | 9 | 1 | 10 |
| 2016 Diciembre | 19 | 5 | 24 |
| 2016 Noviembre | 25 | 2 | 27 |
| 2016 Octubre | 27 | 3 | 30 |
| 2016 Septiembre | 11 | 3 | 14 |
| 2016 Agosto | 11 | 3 | 14 |
| 2016 Julio | 8 | 8 | 16 |
| 2016 Junio | 12 | 4 | 16 |
| 2016 Mayo | 14 | 8 | 22 |
| 2016 Abril | 5 | 6 | 11 |
| 2016 Marzo | 11 | 8 | 19 |
| 2016 Febrero | 14 | 6 | 20 |
| 2016 Enero | 10 | 11 | 21 |
| 2015 Diciembre | 8 | 10 | 18 |
| 2015 Noviembre | 3 | 4 | 7 |
| 2015 Octubre | 10 | 4 | 14 |
| 2015 Septiembre | 8 | 3 | 11 |
| 2015 Agosto | 9 | 6 | 15 |
| 2015 Julio | 6 | 2 | 8 |
| 2015 Junio | 5 | 0 | 5 |
| 2015 Mayo | 3 | 4 | 7 |
| 2015 Abril | 7 | 5 | 12 |
| 2015 Marzo | 0 | 4 | 4 |
| 2015 Febrero | 2 | 0 | 2 |
| 2015 Enero | 14 | 5 | 19 |
| 2014 Diciembre | 9 | 4 | 13 |
| 2014 Noviembre | 3 | 2 | 5 |
| 2014 Octubre | 20 | 2 | 22 |
| 2014 Septiembre | 12 | 3 | 15 |
| 2014 Agosto | 5 | 3 | 8 |
| 2014 Julio | 10 | 2 | 12 |
| 2014 Junio | 24 | 4 | 28 |
| 2014 Mayo | 1 | 3 | 4 |
| 2014 Abril | 2 | 6 | 8 |
| 2014 Marzo | 5 | 3 | 8 |
| 2014 Febrero | 5 | 2 | 7 |
| 2014 Enero | 3 | 1 | 4 |
| 2013 Diciembre | 3 | 2 | 5 |
| 2013 Noviembre | 3 | 1 | 4 |
| 2013 Octubre | 3 | 5 | 8 |
| 2013 Septiembre | 6 | 4 | 10 |
| 2013 Agosto | 2 | 2 | 4 |
| 2013 Julio | 1 | 0 | 1 |
| 2001 Junio | 235 | 0 | 235 |
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