Nefrectomía laparoscópica mano-asistida
Hand-assisted laparoscopic nephrectomy
C. Gutiérrez Sanz-Gadea1
, A. Mus Malleu, G. Briones Mardones, F. Hidalgo Pardo, M. Rebassa Llull, G. Conde Santos
Autor para correspondencia
Servicio de Urología. Hospital Son Llàtzer. Palma de Mallorca
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"apellidos" => "Mus Malleu" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Briones Mardones" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Hidalgo Pardo" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Rebassa Llull" ] 5 => array:2 [ "nombre" => "G." "apellidos" => "Conde Santos" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología. Hospital Son Llàtzer. Palma de Mallorca" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Dr. C. Gutiérrez Sanz-Gadea Jaime III, 5ª, entresuelo 07014 Palma de Mallorca" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Hand-assisted laparoscopic nephrectomy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-05-09" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec87963" "palabras" => array:4 [ 0 => "Nefrectomía" 1 => "Laparoscopia" 2 => "Cáncer renal" 3 => "Nefrectomía mano-asistida" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec87964" "palabras" => array:4 [ 0 => "Nephrectomy" 1 => "Laparoscopy" 2 => "renal cancer" 3 => "Hand-assisted nephrectomy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción y Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos nuestra casuística de nefrectomías laparoscópicas mano-asistidas. Se valoran nuestros resultados y las dificultades del inicio de un programa progresivo de laparoscopia.</p> <span class="elsevierStyleSectionTitle">Material</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Desde noviembre 2003 hasta noviembre 2005 se han realizado 35 nefrectomías laparoscópicas Mano-asistidas, de un total de 45 nefrectomías laparoscópicas. 22 nefrectomías radicales, 3 nefrectomías simples y 10 nefroureterectomías. Media de edad 66 años (47-89). Tenían una media de sobrepeso (IMC 28,3); 38% eran obesos. ASA 2,3 (1-4). Los tumores tenían 4,8 cm de tamaño medio; 80% eran T1. El 28,6% habían sido operados previamente de cirugía abdominal.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se realizaron 1 en 2003, 17 en 2004, y 17 en 2005. El tiempo quirúrgico ha sido 140 minutos, 130 minutos (80-210) en nefrectomías radicales, 135 minutos (120-150) en nefrectomías simples y 163 minutos (80-240) en nefroureterectomías. Los pacientes iniciaron dieta oral en 1,7 días y se levantaron en 1,7 días. Los obesos iniciaron la dieta (2,3 días) y se levantaron (2,4 días) más tarde que los no obesos (1,5 y 1,4 días respectivamente). La estancia media ha sido 5,8 días (3-15); en los no complicados 4,2 días y en los que han tenido complicaciones 9,7 días. En ningún caso se trasfundió. Hemos tenido 11,4% de complicaciones mayores con EM de 11,7 días. Un 5,7% de reconversiones y 5,7% de reoperaciones. Y 17,1% de complicaciones menores, con EM de 8,8 días.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La nefrectomía mano-asistida es una técnica que por sus ventajas permite un inicio en la laparoscopia, con menor curva de aprendizaje, y resultados satisfactorios, permitiendo incorporar la cirugía laparoscópica a hospitales con un menor volumen anual.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction and objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To present the number of cases of hand-assisted laparoscopic nephrectomy. This study evaluates our results and difficulties of starting a progresive programme of laparoscopy.</p> <span class="elsevierStyleSectionTitle">Material and Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Between november 2003 and november 2005, 35 hand-assisted laparoscopic nephrectomies were carried out, of a total of 45 laparoscopic nephrectomies. 22 radical nephrectomies, 3 simple nephrectomies and 10 nephroureterectomies. The average age of patients was 66 years (47-89). On average, they were overweight (IMC 28,3), with approximately 38% being obese. ASA 2.3 (1-4). The tumors measured 4.8cm on average, and 80% of these were T1. In 28.6% of the cases, they had previously undergone abdominal surgery.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">One was undertaken in 2003, 17 in 2004, and 17 in 2005. The surgery time was 140 minutes, 130 minutes (80-210) in radical nephrectomies, 135 minutes (120-150) in simple nephrectomies and 163 minutes (80-240) in the nephroureterectomy. Patients began an oral diet 1.7 days later, and were able to get up 1.7 days later. In the case of obese patients, they began an oral diet 2.3 days later and were able to get up (2.4 days) later than those non obese cases. (1.5 and 1.4 days respectively). The average stay has been 5.8 days (3-15). The average stay of the cases without complications was 4.2 days and those that encountered complications 9.7 days. In no cases was there a need for a blood transfusion. In 11.4% we had major complications with an average stay of 11.7 days. In 5.7% of cases there were reconversions, and 5.7% of cases were reoperated. 17.1% had minor complications, with an average stay of 8.8 days</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The advantage of hand-assisted nephrectomy is that it allows one to begín a laparoscopy, with a reduced learning time, and with satisfactory results, allowing the incorporation of laparoscopy surgery in hospitals with a reduced annual volume.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:40 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Laparoscopic nephrectomy: initial case report" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R.V. Clayman" 1 => "L.R. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 0 | 2 | 2 |
| 2024 Octubre | 0 | 13 | 13 |
| 2024 Septiembre | 0 | 9 | 9 |
| 2024 Agosto | 0 | 3 | 3 |
| 2024 Julio | 0 | 2 | 2 |
| 2024 Junio | 0 | 26 | 26 |
| 2024 Mayo | 0 | 4 | 4 |
| 2024 Abril | 0 | 23 | 23 |
| 2024 Marzo | 0 | 37 | 37 |
| 2024 Febrero | 0 | 10 | 10 |
| 2024 Enero | 0 | 8 | 8 |
| 2023 Diciembre | 0 | 23 | 23 |
| 2023 Noviembre | 0 | 16 | 16 |
| 2023 Octubre | 0 | 24 | 24 |
| 2023 Septiembre | 0 | 14 | 14 |
| 2023 Agosto | 0 | 3 | 3 |
| 2023 Julio | 0 | 30 | 30 |
| 2023 Junio | 0 | 7 | 7 |
| 2023 Mayo | 0 | 3 | 3 |
| 2023 Abril | 0 | 3 | 3 |
| 2023 Marzo | 4 | 7 | 11 |
| 2023 Febrero | 0 | 4 | 4 |
| 2023 Enero | 0 | 4 | 4 |
| 2022 Diciembre | 0 | 10 | 10 |
| 2022 Noviembre | 0 | 16 | 16 |
| 2022 Octubre | 0 | 5 | 5 |
| 2022 Septiembre | 0 | 25 | 25 |
| 2022 Agosto | 0 | 7 | 7 |
| 2022 Julio | 0 | 3 | 3 |
| 2022 Junio | 0 | 5 | 5 |
| 2022 Mayo | 0 | 5 | 5 |
| 2022 Abril | 0 | 10 | 10 |
| 2022 Marzo | 0 | 6 | 6 |
| 2022 Febrero | 0 | 1 | 1 |
| 2022 Enero | 0 | 1 | 1 |
| 2021 Diciembre | 0 | 7 | 7 |
| 2021 Julio | 0 | 2 | 2 |
| 2021 Junio | 0 | 3 | 3 |
| 2021 Mayo | 0 | 1 | 1 |
| 2021 Abril | 0 | 2 | 2 |
| 2021 Marzo | 0 | 5 | 5 |
| 2021 Febrero | 0 | 3 | 3 |
| 2021 Enero | 0 | 2 | 2 |
| 2020 Diciembre | 0 | 1 | 1 |
| 2020 Noviembre | 0 | 4 | 4 |
| 2020 Octubre | 0 | 5 | 5 |
| 2020 Agosto | 0 | 7 | 7 |
| 2020 Julio | 0 | 1 | 1 |
| 2020 Junio | 0 | 4 | 4 |
| 2020 Mayo | 0 | 8 | 8 |
| 2020 Abril | 0 | 3 | 3 |
| 2020 Marzo | 0 | 5 | 5 |
| 2020 Febrero | 0 | 2 | 2 |
| 2020 Enero | 0 | 10 | 10 |
| 2019 Diciembre | 0 | 16 | 16 |
| 2019 Octubre | 0 | 4 | 4 |
| 2019 Septiembre | 0 | 9 | 9 |
| 2019 Agosto | 0 | 3 | 3 |
| 2019 Julio | 0 | 12 | 12 |
| 2019 Junio | 0 | 5 | 5 |
| 2019 Mayo | 0 | 36 | 36 |
| 2019 Abril | 0 | 21 | 21 |
| 2019 Marzo | 0 | 4 | 4 |
| 2019 Febrero | 0 | 2 | 2 |
| 2018 Diciembre | 0 | 4 | 4 |
| 2018 Noviembre | 0 | 3 | 3 |
| 2018 Octubre | 0 | 11 | 11 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 3 | 3 | 6 |
| 2018 Enero | 5 | 0 | 5 |
| 2017 Diciembre | 3 | 3 | 6 |
| 2017 Noviembre | 0 | 3 | 3 |
| 2017 Octubre | 5 | 3 | 8 |
| 2017 Septiembre | 5 | 5 | 10 |
| 2017 Agosto | 6 | 0 | 6 |
| 2017 Julio | 9 | 4 | 13 |
| 2017 Junio | 6 | 6 | 12 |
| 2017 Mayo | 3 | 2 | 5 |
| 2017 Abril | 4 | 1 | 5 |
| 2017 Marzo | 9 | 32 | 41 |
| 2017 Febrero | 4 | 5 | 9 |
| 2017 Enero | 1 | 2 | 3 |
| 2016 Diciembre | 13 | 6 | 19 |
| 2016 Noviembre | 12 | 6 | 18 |
| 2016 Octubre | 28 | 2 | 30 |
| 2016 Septiembre | 10 | 14 | 24 |
| 2016 Agosto | 11 | 2 | 13 |
| 2016 Julio | 8 | 2 | 10 |
| 2016 Junio | 13 | 9 | 22 |
| 2016 Mayo | 12 | 15 | 27 |
| 2016 Abril | 3 | 11 | 14 |
| 2016 Marzo | 11 | 8 | 19 |
| 2016 Febrero | 7 | 11 | 18 |
| 2016 Enero | 10 | 22 | 32 |
| 2015 Diciembre | 5 | 13 | 18 |
| 2015 Noviembre | 7 | 8 | 15 |
| 2015 Octubre | 11 | 10 | 21 |
| 2015 Septiembre | 9 | 3 | 12 |
| 2015 Agosto | 10 | 6 | 16 |
| 2015 Julio | 3 | 0 | 3 |
| 2015 Junio | 3 | 7 | 10 |
| 2015 Mayo | 8 | 8 | 16 |
| 2015 Abril | 8 | 11 | 19 |
| 2015 Marzo | 5 | 5 | 10 |
| 2015 Febrero | 4 | 3 | 7 |
| 2015 Enero | 9 | 3 | 12 |
| 2014 Diciembre | 10 | 8 | 18 |
| 2014 Noviembre | 13 | 3 | 16 |
| 2014 Octubre | 14 | 4 | 18 |
| 2014 Septiembre | 25 | 1 | 26 |
| 2014 Agosto | 12 | 0 | 12 |
| 2014 Julio | 12 | 0 | 12 |
| 2014 Junio | 13 | 1 | 14 |
| 2014 Mayo | 15 | 0 | 15 |
| 2014 Abril | 6 | 1 | 7 |
| 2014 Marzo | 9 | 0 | 9 |
| 2014 Febrero | 7 | 0 | 7 |
| 2014 Enero | 6 | 3 | 9 |
| 2013 Diciembre | 7 | 2 | 9 |
| 2013 Noviembre | 13 | 1 | 14 |
| 2013 Octubre | 6 | 9 | 15 |
| 2013 Septiembre | 12 | 8 | 20 |
| 2013 Agosto | 14 | 3 | 17 |
| 2013 Julio | 3 | 0 | 3 |
| 2006 Junio | 206 | 0 | 206 |
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