Correspondencia autor: Dr. Humberto Villavicencio Mavrich Servicio de Urología. Fundació Puigvert Cartagena, 340-350 - 08025 Barcelona Tel.: 934 169 700
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Delgado bolton, Jorge Mucientes rasilla, Mª Jesús pérez castejón, José L. Carreras delgado" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Roberto C." "apellidos" => "Delgado bolton" ] 1 => array:2 [ "nombre" => "Jorge" "apellidos" => "Mucientes rasilla" ] 2 => array:2 [ "nombre" => "Mª" "apellidos" => "Jesús pérez castejón" ] 3 => array:2 [ "nombre" => "José L." 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Fundació Puigvert Cartagena, 340-350 - 08025 Barcelona Tel.: 934 169 700" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Robotic radical prostatectomy: first 100 patients in fundació puigvert" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-10-01" "fechaAceptado" => "2008-11-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88779" "palabras" => array:3 [ 0 => "Prostatectomía radical robótica" 1 => "Da Vinci" 2 => "Cáncer de próstata" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec88780" "palabras" => array:3 [ 0 => "Robotic radical prostatectomy" 1 => "Da Vinci" 2 => "Prostate cancer" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Realizar un análisis de los primeros 100 casos de nuestra serie de prostatectomía radical robótica con Da Vinci (PRRdaV) realizadas en nuestro Centro, que corresponden a la primera serie en España.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se realiza un estudio retrospectivo de las 100 primeras PRRdaV consecutivas realizadas en la Fundació Puigvert entre Julio de 2005 y Enero de 2007. El procedimiento fue realizado por 5 cirujanos distintos, siendo la curva de aprendizaje para todos ellos. El abordaje fue transperitoneal en todos los casos. Se analizan, tiempo operatorio, pérdidas hemáticas, tasa de conversión, complicaciones intra y postoperatorias, estancia hospitalaria y días de sonda vesical. También se revisan las tasas y la localización de los márgenes positivos, así como los resultados funcionales, con un seguimiento medio de 10,3 meses.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La media de tiempo operatorio fue de 180 minutos (100-310) y la pérdida hemática media de 210 mL (100- 390). En 2 casos se realizó transfusión postoperatoria. No se presentaron complicaciones intraoperatorias, y tampoco ninguna reconversión. Como acontecimientos postoperatorios destacan un síndrome compartimental, una retención aguda urinaria tras retirada de sonda vesical, y unas parestesias por compresión del plexo braquial. La estancia hospitalaria media fue 3,7 días (2-21). Se obtuvieron 21 casos con márgenes quirúrgicos positivos (21%). La localización más frecuente fue posterolateral. El 69% fueron continentes de forma precoz (<3 meses), el 91% lo fueron a los 9 meses, el 9% restante requiere de compresa de seguridad. Referente a la función sexual, el 62% conservan potencia y el 38% presentaron disfunción eréctil postoperatoria.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La PRRdaV es un procedimiento seguro, reproducible y que ofrece unos resultados oncológicos y funcionales muy prometedores con un abordaje mínimamente invasivo. A pesar de incluir la curva de aprendizaje de 5 cirujanos, obtenemos una excelente tasa de continencia, y una buena función sexual. La mejora individual, con mayor experiencia, así como un mayor seguimiento, permitirá valorar la evolución de la técnica, así como de sus resultados.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We present the 100 first robotic radical prostatectomy with Da Vinci (RRPdaV), corresponding to the first experience in Spain.</p> <span class="elsevierStyleSectionTitle">methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We reviewed the first 100 patients that underwent transperitoneal RRPda performed in Fundació Puigvert between July 2005 and January 2007. All cases were performed by 5 surgeons, being the learning curve for all of them. We analyzed surgical time, blood loss, conversion rate, intra and postoperative complications, hospital stay and days of bladder catheterization. Also, rates and location of surgical margins, as well as functional outcomes with an average follow up of 10.3 months.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Mean operating time was 180 minutes (100-310) and blood loss 210 mL (100-390). Blood transfusion was required in 2 cases. There were no intraoperative complications and neither any conversion to open surgery. There were 3 outstanding postoperative events, a compartmentalize syndrome, an acute urinary retention after removal of urethral catheter, and a paresthesias due to brachial plexus compression. Mean hospital stay were 3.7 days. (2-21). We had 21 cases of positive surgical margins (21%). The most frequent location was posterior lateral. 69 of 100 patients (69%) reached early (<3 months) total continence, 91% achieved in 9 months, and remaining 9% required use of at least one pad. Concerning to sexual function, 13 of 100 patients (13%) had preoperative erectile dysfunction, of remaining cases, 62% preserved potency at review, and 38% had postoperative erectile dysfunction.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">RRPDAv is a safe and reproducible procedure, and offers promising oncological and functional results with a minimal invasive technique. In spite of include the learning curve of 5 surgeons; we obtain an excellent rate of continence, and an acceptable sexual function. The individual improvement, with more experience, and a longer follow-up, will allow to value evolution of the technique, and it results.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cancer of the prostate" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Bracarda" 1 => "O. de Cobelli" 2 => "C. Greco" 3 => "T. Prayer-Galetti" 4 => "R. Valdagni" 5 => "G. 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año/Mes | Html | Total | |
---|---|---|---|
2024 Noviembre | 0 | 2 | 2 |
2024 Octubre | 0 | 6 | 6 |
2024 Septiembre | 0 | 11 | 11 |
2024 Agosto | 0 | 4 | 4 |
2024 Julio | 0 | 8 | 8 |
2024 Junio | 0 | 13 | 13 |
2024 Mayo | 0 | 3 | 3 |
2024 Abril | 0 | 7 | 7 |
2024 Marzo | 0 | 60 | 60 |
2024 Febrero | 0 | 16 | 16 |
2024 Enero | 0 | 12 | 12 |
2023 Diciembre | 0 | 17 | 17 |
2023 Noviembre | 0 | 29 | 29 |
2023 Octubre | 0 | 16 | 16 |
2023 Septiembre | 0 | 26 | 26 |
2023 Agosto | 0 | 35 | 35 |
2023 Julio | 0 | 42 | 42 |
2023 Junio | 0 | 27 | 27 |
2023 Mayo | 0 | 10 | 10 |
2023 Abril | 2 | 8 | 10 |
2023 Marzo | 7 | 11 | 18 |
2023 Febrero | 0 | 10 | 10 |
2023 Enero | 0 | 4 | 4 |
2022 Diciembre | 0 | 6 | 6 |
2022 Noviembre | 0 | 8 | 8 |
2022 Octubre | 0 | 10 | 10 |
2022 Septiembre | 0 | 7 | 7 |
2022 Agosto | 0 | 23 | 23 |
2022 Junio | 0 | 1 | 1 |
2022 Mayo | 0 | 5 | 5 |
2022 Abril | 0 | 15 | 15 |
2022 Marzo | 0 | 12 | 12 |
2022 Febrero | 0 | 4 | 4 |
2022 Enero | 0 | 4 | 4 |
2021 Diciembre | 0 | 2 | 2 |
2021 Noviembre | 0 | 13 | 13 |
2021 Octubre | 0 | 2 | 2 |
2021 Septiembre | 0 | 1 | 1 |
2021 Agosto | 0 | 4 | 4 |
2021 Julio | 0 | 3 | 3 |
2021 Junio | 0 | 1 | 1 |
2021 Mayo | 0 | 5 | 5 |
2021 Abril | 0 | 1 | 1 |
2021 Marzo | 0 | 6 | 6 |
2021 Febrero | 0 | 5 | 5 |
2021 Enero | 0 | 2 | 2 |
2020 Diciembre | 0 | 3 | 3 |
2020 Noviembre | 0 | 6 | 6 |
2020 Octubre | 0 | 2 | 2 |
2020 Septiembre | 0 | 2 | 2 |
2020 Agosto | 0 | 11 | 11 |
2020 Julio | 0 | 4 | 4 |
2020 Junio | 0 | 1 | 1 |
2020 Mayo | 0 | 8 | 8 |
2020 Abril | 0 | 3 | 3 |
2020 Marzo | 0 | 7 | 7 |
2020 Febrero | 0 | 3 | 3 |
2020 Enero | 0 | 13 | 13 |
2019 Diciembre | 0 | 29 | 29 |
2019 Noviembre | 0 | 9 | 9 |
2019 Octubre | 0 | 3 | 3 |
2019 Septiembre | 0 | 9 | 9 |
2019 Agosto | 0 | 1 | 1 |
2019 Julio | 0 | 11 | 11 |
2019 Junio | 0 | 18 | 18 |
2019 Mayo | 0 | 59 | 59 |
2019 Abril | 0 | 35 | 35 |
2019 Marzo | 0 | 1 | 1 |
2019 Febrero | 0 | 17 | 17 |
2018 Diciembre | 0 | 15 | 15 |
2018 Noviembre | 0 | 7 | 7 |
2018 Octubre | 0 | 35 | 35 |
2018 Septiembre | 0 | 2 | 2 |
2018 Agosto | 0 | 1 | 1 |
2018 Julio | 0 | 2 | 2 |
2018 Mayo | 0 | 1 | 1 |
2018 Febrero | 0 | 1 | 1 |
2018 Enero | 0 | 2 | 2 |
2017 Diciembre | 2 | 1 | 3 |
2017 Noviembre | 3 | 4 | 7 |
2017 Octubre | 4 | 4 | 8 |
2017 Septiembre | 2 | 3 | 5 |
2017 Agosto | 8 | 15 | 23 |
2017 Julio | 6 | 4 | 10 |
2017 Junio | 1 | 10 | 11 |
2017 Mayo | 7 | 2 | 9 |
2017 Abril | 9 | 4 | 13 |
2017 Marzo | 24 | 48 | 72 |
2017 Febrero | 7 | 11 | 18 |
2017 Enero | 1 | 3 | 4 |
2016 Diciembre | 11 | 17 | 28 |
2016 Noviembre | 21 | 14 | 35 |
2016 Octubre | 30 | 17 | 47 |
2016 Septiembre | 16 | 11 | 27 |
2016 Agosto | 13 | 1 | 14 |
2016 Julio | 12 | 1 | 13 |
2016 Junio | 12 | 16 | 28 |
2016 Mayo | 13 | 18 | 31 |
2016 Abril | 15 | 30 | 45 |
2016 Marzo | 13 | 16 | 29 |
2016 Febrero | 8 | 18 | 26 |
2016 Enero | 9 | 26 | 35 |
2015 Diciembre | 8 | 13 | 21 |
2015 Noviembre | 9 | 7 | 16 |
2015 Octubre | 16 | 8 | 24 |
2015 Septiembre | 10 | 5 | 15 |
2015 Agosto | 10 | 3 | 13 |
2015 Julio | 7 | 7 | 14 |
2015 Junio | 1 | 2 | 3 |
2015 Mayo | 7 | 2 | 9 |
2015 Abril | 10 | 12 | 22 |
2015 Marzo | 4 | 5 | 9 |
2015 Febrero | 5 | 1 | 6 |
2015 Enero | 9 | 6 | 15 |
2014 Diciembre | 10 | 14 | 24 |
2014 Noviembre | 7 | 8 | 15 |
2014 Octubre | 7 | 4 | 11 |
2014 Septiembre | 17 | 8 | 25 |
2014 Agosto | 4 | 2 | 6 |
2014 Julio | 1 | 1 | 2 |
2014 Junio | 2 | 6 | 8 |
2014 Mayo | 2 | 4 | 6 |
2014 Abril | 1 | 4 | 5 |
2014 Marzo | 0 | 5 | 5 |
2014 Febrero | 1 | 3 | 4 |
2014 Enero | 4 | 3 | 7 |
2013 Diciembre | 3 | 7 | 10 |
2013 Noviembre | 4 | 8 | 12 |
2013 Octubre | 1 | 15 | 16 |
2013 Septiembre | 4 | 11 | 15 |
2013 Agosto | 2 | 7 | 9 |
2013 Julio | 2 | 0 | 2 |
2009 Enero | 377 | 0 | 377 |