Complicaciones de una serie consecutiva de 133 casos de prostatectomía radical
J.A. Portillo martín1, M. Rado velázquez, J.L. Gutiérrez baños, B. Martín garcía, R. Hernández rodríguez, J.I. Del valle schaan, M.A. Correas gómez, A. Roca edreira, A. Hernández castrillo
Servicio de Urología. Hospital Universitario Valdecilla. Facultad de Medicina. Universidad de Cantabria. Santander
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"apellidos" => "Hens pérez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021048060172671X?idApp=UINPBA00004N" "url" => "/02104806/0000002500000008/v1_201304251641/S021048060172671X/v1_201304251641/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Complicaciones de una serie consecutiva de 133 casos de prostatectomía radical" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "559" "paginaFinal" => "566" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.A. Portillo martín, M. Rado velázquez, J.L. Gutiérrez baños, B. Martín garcía, R. Hernández rodríguez, J.I. Del valle schaan, M.A. Correas gómez, A. Roca edreira, A. Hernández castrillo" "autores" => array:9 [ 0 => array:3 [ "nombre" => "J.A." "apellidos" => "Portillo martín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Rado velázquez" ] 2 => array:2 [ "nombre" => "J.L." "apellidos" => "Gutiérrez baños" ] 3 => array:2 [ "nombre" => "B." "apellidos" => "Martín garcía" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Hernández rodríguez" ] 5 => array:2 [ "nombre" => "J.I." "apellidos" => "Del valle schaan" ] 6 => array:2 [ "nombre" => "M.A." "apellidos" => "Correas gómez" ] 7 => array:2 [ "nombre" => "A." "apellidos" => "Roca edreira" ] 8 => array:2 [ "nombre" => "A." "apellidos" => "Hernández castrillo" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología. Hospital Universitario Valdecilla. Facultad de Medicina. Universidad de Cantabria. Santander" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Dr. J.A. Portillo Martín Avda. del Faro, 1 – blq. 2, 3º B 39012 Santander (Cantabria)" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-01-12" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec86450" "palabras" => array:3 [ 0 => "Cáncer de próstata" 1 => "Prostatectomía radical" 2 => "Complicaciones quirúrgicas" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec86449" "palabras" => array:3 [ 0 => "Prostate cancer" 1 => "Radical prostatectomy" 2 => "Surgical complications" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar las complicaciones quirúrgicas de la prostatectomía radical (PR) en nuestro medio</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Desde agosto de 1991 a diciembre de 1999, hemos realizado 138 PR en pacientes con adenocarcinoma de próstata (CaP) clínicamente localizado. Analizamos sólo los 133 casos de los que conocemos la evolución. La técnica utilizada ha sido la ascendente descrita por Walsh por vía retropúbica. La edad media era de 64,8 y la media del PSA era de 17,6 ng/ml</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Con un seguimiento medio de 43 meses diferenciamos las complicaciones precoces de las tardías. Entre las primeras tenemos la fístula urinaria (9%), la linforrea (5,22%) y la lesión rectal (2,2%). De las tardías la más preocupante es la incontinencia de orina (27%) de la que el 4,5% es grave. La más frecuente es la disfunción eréctil (98%) y la estenosis de la anastomosis (12%) es la menos preocupante. Sólo tres pacientes han fallecido debido a la neoplasia. Comparamos nuestros resultados con las series más amplias nacionales y extranjeras</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La cirugía radical de próstata en nuestro medio tiene una morbilidad similar a otras series. La incontinencia urinaria y la disfunción eréctil son las secuelas más preocupantes que los pacientes deben conocer para decidir otras opciones terapéuticas</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objetive</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To evaluate the surgical complications of radical prostatectomy in our hospital</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">From august 1991 to december 1999, 138 patients with clinicaly localized prostate cancer underwent Walsh technique radical prostatectomy. The follow-up is known from 133 patients with a mean age of 64,8% and a mean PSA of 17,6 ng/ml</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The mean follow-up is 43 months. Urinary fistula (9%), lymphatic leakage (5,22%) and rectal injury (2,2%) are the most common early complications. Urinary incontinence (27%), erectly dysfunction (98%) and uretrovesical junction stenosis (12%) are the delay complications. Only three patients have died due to prostate cancer. Our results are compared with another series</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The morbidity of radical prostatectomy is very similar to the compared series. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 10 | 10 |
| 2024 Septiembre | 0 | 8 | 8 |
| 2024 Agosto | 0 | 4 | 4 |
| 2024 Julio | 0 | 3 | 3 |
| 2024 Junio | 0 | 4 | 4 |
| 2024 Abril | 0 | 17 | 17 |
| 2024 Marzo | 0 | 13 | 13 |
| 2024 Febrero | 0 | 7 | 7 |
| 2024 Enero | 0 | 20 | 20 |
| 2023 Diciembre | 0 | 19 | 19 |
| 2023 Noviembre | 0 | 14 | 14 |
| 2023 Octubre | 0 | 34 | 34 |
| 2023 Septiembre | 0 | 11 | 11 |
| 2023 Agosto | 0 | 8 | 8 |
| 2023 Julio | 0 | 28 | 28 |
| 2023 Junio | 0 | 9 | 9 |
| 2023 Mayo | 0 | 3 | 3 |
| 2023 Abril | 0 | 1 | 1 |
| 2023 Marzo | 1 | 3 | 4 |
| 2023 Febrero | 0 | 5 | 5 |
| 2023 Enero | 0 | 8 | 8 |
| 2022 Diciembre | 0 | 6 | 6 |
| 2022 Noviembre | 0 | 8 | 8 |
| 2022 Octubre | 0 | 9 | 9 |
| 2022 Septiembre | 0 | 13 | 13 |
| 2022 Agosto | 0 | 14 | 14 |
| 2022 Julio | 0 | 1 | 1 |
| 2022 Junio | 0 | 5 | 5 |
| 2022 Mayo | 0 | 6 | 6 |
| 2022 Abril | 0 | 5 | 5 |
| 2022 Marzo | 0 | 1 | 1 |
| 2022 Febrero | 0 | 3 | 3 |
| 2021 Diciembre | 0 | 4 | 4 |
| 2021 Noviembre | 0 | 7 | 7 |
| 2021 Octubre | 0 | 2 | 2 |
| 2021 Septiembre | 0 | 3 | 3 |
| 2021 Agosto | 0 | 2 | 2 |
| 2021 Julio | 0 | 6 | 6 |
| 2021 Junio | 0 | 2 | 2 |
| 2021 Abril | 0 | 16 | 16 |
| 2021 Marzo | 0 | 11 | 11 |
| 2021 Febrero | 0 | 4 | 4 |
| 2021 Enero | 0 | 3 | 3 |
| 2020 Diciembre | 0 | 7 | 7 |
| 2020 Noviembre | 0 | 9 | 9 |
| 2020 Octubre | 0 | 5 | 5 |
| 2020 Septiembre | 0 | 3 | 3 |
| 2020 Agosto | 0 | 5 | 5 |
| 2020 Julio | 0 | 2 | 2 |
| 2020 Junio | 0 | 2 | 2 |
| 2020 Mayo | 1 | 12 | 13 |
| 2020 Abril | 0 | 3 | 3 |
| 2020 Marzo | 0 | 4 | 4 |
| 2020 Febrero | 0 | 8 | 8 |
| 2020 Enero | 0 | 17 | 17 |
| 2019 Diciembre | 0 | 12 | 12 |
| 2019 Noviembre | 0 | 12 | 12 |
| 2019 Octubre | 0 | 4 | 4 |
| 2019 Septiembre | 0 | 3 | 3 |
| 2019 Agosto | 0 | 4 | 4 |
| 2019 Julio | 0 | 14 | 14 |
| 2019 Junio | 0 | 24 | 24 |
| 2019 Mayo | 0 | 40 | 40 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 2 | 5 | 7 |
| 2018 Enero | 0 | 4 | 4 |
| 2017 Diciembre | 0 | 5 | 5 |
| 2017 Noviembre | 7 | 9 | 16 |
| 2017 Octubre | 4 | 9 | 13 |
| 2017 Septiembre | 2 | 12 | 14 |
| 2017 Agosto | 5 | 2 | 7 |
| 2017 Julio | 6 | 6 | 12 |
| 2017 Junio | 13 | 10 | 23 |
| 2017 Mayo | 9 | 12 | 21 |
| 2017 Abril | 11 | 4 | 15 |
| 2017 Marzo | 16 | 21 | 37 |
| 2017 Febrero | 9 | 2 | 11 |
| 2017 Enero | 9 | 1 | 10 |
| 2016 Diciembre | 19 | 10 | 29 |
| 2016 Noviembre | 26 | 7 | 33 |
| 2016 Octubre | 36 | 6 | 42 |
| 2016 Septiembre | 13 | 6 | 19 |
| 2016 Agosto | 10 | 8 | 18 |
| 2016 Julio | 10 | 3 | 13 |
| 2016 Junio | 12 | 15 | 27 |
| 2016 Mayo | 17 | 9 | 26 |
| 2016 Abril | 7 | 25 | 32 |
| 2016 Marzo | 9 | 12 | 21 |
| 2016 Febrero | 9 | 14 | 23 |
| 2016 Enero | 12 | 12 | 24 |
| 2015 Diciembre | 8 | 6 | 14 |
| 2015 Noviembre | 15 | 6 | 21 |
| 2015 Octubre | 13 | 12 | 25 |
| 2015 Septiembre | 8 | 8 | 16 |
| 2015 Agosto | 7 | 5 | 12 |
| 2015 Julio | 5 | 9 | 14 |
| 2015 Junio | 2 | 7 | 9 |
| 2015 Mayo | 4 | 3 | 7 |
| 2015 Abril | 6 | 6 | 12 |
| 2015 Marzo | 9 | 2 | 11 |
| 2015 Febrero | 2 | 1 | 3 |
| 2015 Enero | 8 | 2 | 10 |
| 2014 Diciembre | 17 | 6 | 23 |
| 2014 Noviembre | 9 | 2 | 11 |
| 2014 Octubre | 12 | 5 | 17 |
| 2014 Septiembre | 25 | 1 | 26 |
| 2014 Agosto | 9 | 3 | 12 |
| 2014 Julio | 15 | 3 | 18 |
| 2014 Junio | 14 | 2 | 16 |
| 2014 Mayo | 6 | 1 | 7 |
| 2014 Abril | 6 | 4 | 10 |
| 2014 Marzo | 8 | 1 | 9 |
| 2014 Febrero | 6 | 4 | 10 |
| 2014 Enero | 2 | 2 | 4 |
| 2013 Diciembre | 9 | 1 | 10 |
| 2013 Noviembre | 7 | 7 | 14 |
| 2013 Octubre | 5 | 14 | 19 |
| 2013 Septiembre | 7 | 6 | 13 |
| 2013 Agosto | 1 | 5 | 6 |
| 2013 Julio | 4 | 0 | 4 |
| 2001 Agosto | 282 | 0 | 282 |
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