Donante vivo renal. experiencia de cirugía abierta y laparoscópica. hospital la paz
Renal live donor. open and laparoscopic experience at la paz hospital
Alfredo Aguilera bazán
, Manuel Pérez utrilla*, Ángel Alonso*, Enrique Jaureguizar monereo**, Luis Hidalgo togores*, Javier De la peña barthel*
,1
Autor para correspondencia
aaguilera11@yahoo.es
Correspondencia autor: Dr. Alfredo Aguilera Bazán Servicio de Urología. Hospital Universitario La Paz Pº de la Castellana, 261 - 28046 Madrid Tel.: 917 277 000
Correspondencia autor: Dr. Alfredo Aguilera Bazán Servicio de Urología. Hospital Universitario La Paz Pº de la Castellana, 261 - 28046 Madrid Tel.: 917 277 000
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Hospital Universitario La Paz. Madrid" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1." "correspondencia" => "Correspondencia autor: Dr. Alfredo Aguilera Bazán Servicio de Urología. Hospital Universitario La Paz Pº de la Castellana, 261 - 28046 Madrid Tel.: 917 277 000" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Renal live donor. open and laparoscopic experience at la paz hospital" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-09-01" "fechaAceptado" => "2008-10-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88773" "palabras" => array:3 [ 0 => "Donante vivo" 1 => "Laparoscopia" 2 => "Cirugía renal laparoscópica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88774" "palabras" => array:3 [ 0 => "Live donor" 1 => "Laparoscopy" 2 => "Laparoscopic renal" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La extracción renal laparóscopica es una técnica escasamente implantada en nuestro país, debido principalmente a la dificultad técnica que supone y a la gran cantidad de donante cadáver que encontramos en nuestro medio. Presentamos y analizamos nuestra serie de donante vivo abierto y laparoscópico desde 1984</p> <span class="elsevierStyleSectionTitle">Material y Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Desde 1984 hasta 2007 se han realizado 84 extracciones renales de donante vivo; 64 por cirugía abierta, 20 laparoscópicas. El abordaje transperitoneal ha sido el elegido en el caso de la laparoscopia y la lumbotomía en la abierta.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En la técnica abierta el tiempo quirúrgico medio es de 112 min (70-155), el tiempo medio de isquemia caliente es de 20 segundos (15-47) y la estancia media es de 4,8 días (3-9). En los casos realizados por laparoscopia, el tiempo quirúrgico medio es de 146 min (90-210), el tiempo de isquemia caliente es de 3 min y 15 seg (2-3,25) y la estancia media es de 3,4 días (2-9).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El abordaje laparoscópico es una técnica que no está exenta de riesgos y que no deben ser despreciados. Debe ser realizado por equipos con experiencia en cirugía renal laparoscópica. En lo referente al riñón obtenido de donante vivo, sin duda se trata de una magnífica solución para pacientes en estado de insuficiencia renal crónica. Es un recurso que deben ofrecer los principales hospitales de nuestro país.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Laparoscopic live donor nephrectomy is a rare operation in our country because the complexity of the technique and the expansion of the cadaveric donor. We present our open and laparoscopic live donor nephrectomy from 1984.</p> <span class="elsevierStyleSectionTitle">Material and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">From 1984 to 2007 we have done 84 live donor nephrectomies; 64 open, 20 laparoscopic surgeries. The transperitoneal approach is preferred in laparoscopy and lumbotomy for the open surgery.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In the open technique the operating time is 112min (70-155), ischaemia time 20 seconds (15-47) and postoperative hospital stay 4,8 days (3-9). Laparoscopic cases, the operating time is 146 min (90-210), ischaemia time 3 min 15 sec (2-3,25 min) and postoperative hospital stay 3,4 days (2-9).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The laparoscopic live donor nephrectomy is a difficult and demanding technique. It should be done by experienced team in laparoscopic renal surgery. The kidney from a live donor is a very good alternative for the cronic renal failure. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 9 | 9 |
| 2024 Septiembre | 0 | 7 | 7 |
| 2024 Agosto | 0 | 3 | 3 |
| 2024 Julio | 0 | 7 | 7 |
| 2024 Junio | 0 | 6 | 6 |
| 2024 Mayo | 0 | 13 | 13 |
| 2024 Abril | 0 | 8 | 8 |
| 2024 Marzo | 0 | 39 | 39 |
| 2024 Febrero | 0 | 19 | 19 |
| 2024 Enero | 0 | 7 | 7 |
| 2023 Diciembre | 0 | 25 | 25 |
| 2023 Noviembre | 0 | 22 | 22 |
| 2023 Octubre | 0 | 17 | 17 |
| 2023 Septiembre | 0 | 19 | 19 |
| 2023 Agosto | 0 | 24 | 24 |
| 2023 Julio | 0 | 58 | 58 |
| 2023 Junio | 0 | 12 | 12 |
| 2023 Mayo | 0 | 6 | 6 |
| 2023 Abril | 0 | 3 | 3 |
| 2023 Marzo | 2 | 0 | 2 |
| 2023 Febrero | 0 | 3 | 3 |
| 2023 Enero | 0 | 8 | 8 |
| 2022 Diciembre | 0 | 4 | 4 |
| 2022 Noviembre | 0 | 12 | 12 |
| 2022 Octubre | 0 | 4 | 4 |
| 2022 Septiembre | 0 | 14 | 14 |
| 2022 Agosto | 0 | 7 | 7 |
| 2022 Julio | 0 | 3 | 3 |
| 2022 Junio | 0 | 1 | 1 |
| 2022 Mayo | 0 | 8 | 8 |
| 2022 Abril | 0 | 3 | 3 |
| 2022 Marzo | 0 | 6 | 6 |
| 2022 Febrero | 0 | 4 | 4 |
| 2021 Diciembre | 0 | 2 | 2 |
| 2021 Noviembre | 0 | 4 | 4 |
| 2021 Octubre | 0 | 3 | 3 |
| 2021 Septiembre | 0 | 2 | 2 |
| 2021 Agosto | 0 | 1 | 1 |
| 2021 Julio | 0 | 4 | 4 |
| 2021 Junio | 0 | 6 | 6 |
| 2021 Mayo | 0 | 2 | 2 |
| 2021 Abril | 0 | 6 | 6 |
| 2021 Marzo | 0 | 1 | 1 |
| 2021 Febrero | 0 | 3 | 3 |
| 2021 Enero | 0 | 3 | 3 |
| 2020 Diciembre | 0 | 1 | 1 |
| 2020 Noviembre | 0 | 5 | 5 |
| 2020 Septiembre | 0 | 6 | 6 |
| 2020 Agosto | 0 | 15 | 15 |
| 2020 Julio | 0 | 5 | 5 |
| 2020 Junio | 0 | 8 | 8 |
| 2020 Mayo | 0 | 8 | 8 |
| 2020 Abril | 0 | 6 | 6 |
| 2020 Marzo | 0 | 8 | 8 |
| 2020 Febrero | 0 | 17 | 17 |
| 2020 Enero | 0 | 9 | 9 |
| 2019 Diciembre | 0 | 13 | 13 |
| 2019 Noviembre | 0 | 12 | 12 |
| 2019 Octubre | 0 | 5 | 5 |
| 2019 Septiembre | 0 | 11 | 11 |
| 2019 Agosto | 0 | 3 | 3 |
| 2019 Julio | 0 | 17 | 17 |
| 2019 Junio | 0 | 15 | 15 |
| 2019 Mayo | 0 | 49 | 49 |
| 2019 Abril | 0 | 31 | 31 |
| 2019 Marzo | 0 | 10 | 10 |
| 2019 Febrero | 0 | 13 | 13 |
| 2019 Enero | 0 | 5 | 5 |
| 2018 Diciembre | 0 | 8 | 8 |
| 2018 Noviembre | 0 | 14 | 14 |
| 2018 Octubre | 0 | 21 | 21 |
| 2018 Septiembre | 0 | 3 | 3 |
| 2018 Mayo | 0 | 1 | 1 |
| 2018 Febrero | 0 | 5 | 5 |
| 2018 Enero | 1 | 5 | 6 |
| 2017 Diciembre | 0 | 5 | 5 |
| 2017 Noviembre | 6 | 8 | 14 |
| 2017 Octubre | 6 | 8 | 14 |
| 2017 Septiembre | 1 | 12 | 13 |
| 2017 Agosto | 5 | 4 | 9 |
| 2017 Julio | 4 | 6 | 10 |
| 2017 Junio | 7 | 14 | 21 |
| 2017 Mayo | 4 | 22 | 26 |
| 2017 Abril | 16 | 4 | 20 |
| 2017 Marzo | 19 | 36 | 55 |
| 2017 Febrero | 10 | 8 | 18 |
| 2017 Enero | 6 | 2 | 8 |
| 2016 Diciembre | 18 | 24 | 42 |
| 2016 Noviembre | 25 | 14 | 39 |
| 2016 Octubre | 26 | 20 | 46 |
| 2016 Septiembre | 20 | 9 | 29 |
| 2016 Agosto | 12 | 3 | 15 |
| 2016 Julio | 12 | 1 | 13 |
| 2016 Junio | 16 | 16 | 32 |
| 2016 Mayo | 22 | 19 | 41 |
| 2016 Abril | 15 | 25 | 40 |
| 2016 Marzo | 15 | 22 | 37 |
| 2016 Febrero | 7 | 23 | 30 |
| 2016 Enero | 13 | 26 | 39 |
| 2015 Diciembre | 8 | 21 | 29 |
| 2015 Noviembre | 16 | 15 | 31 |
| 2015 Octubre | 9 | 12 | 21 |
| 2015 Septiembre | 14 | 5 | 19 |
| 2015 Agosto | 10 | 3 | 13 |
| 2015 Julio | 8 | 7 | 15 |
| 2015 Junio | 4 | 2 | 6 |
| 2015 Mayo | 4 | 1 | 5 |
| 2015 Abril | 10 | 13 | 23 |
| 2015 Marzo | 5 | 4 | 9 |
| 2015 Febrero | 2 | 4 | 6 |
| 2015 Enero | 10 | 6 | 16 |
| 2014 Diciembre | 14 | 14 | 28 |
| 2014 Noviembre | 8 | 3 | 11 |
| 2014 Octubre | 29 | 6 | 35 |
| 2014 Septiembre | 10 | 2 | 12 |
| 2014 Agosto | 11 | 4 | 15 |
| 2014 Julio | 10 | 1 | 11 |
| 2014 Junio | 15 | 5 | 20 |
| 2014 Mayo | 6 | 1 | 7 |
| 2014 Abril | 6 | 6 | 12 |
| 2014 Marzo | 9 | 2 | 11 |
| 2014 Febrero | 13 | 3 | 16 |
| 2014 Enero | 14 | 1 | 15 |
| 2013 Diciembre | 8 | 3 | 11 |
| 2013 Noviembre | 8 | 3 | 11 |
| 2013 Octubre | 3 | 4 | 7 |
| 2013 Septiembre | 7 | 10 | 17 |
| 2013 Agosto | 7 | 14 | 21 |
| 2013 Julio | 4 | 0 | 4 |
| 2009 Enero | 352 | 0 | 352 |
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