Primera nefrectomía transvaginal híbrida por cáncer renal
First report on hybrid transvaginal nephrectomy for renal cancer
María J. Ribal Caparrós1
, Lluís Peri Cusí, Alejandro Molina Cabeza, Alexa García Larrosa, Francisco Carmona, Antonio Alcaraz Asensio
Autor para correspondencia
mjribal@clinic.ub.es
Correspondencia autor: Dra. María J. Ribal Caparrós Departamento de Urología. Hospital Clínic i Provincial Villarroel 170-08036.Barcelona. Tel. 932 275 545
Correspondencia autor: Dra. María J. Ribal Caparrós Departamento de Urología. Hospital Clínic i Provincial Villarroel 170-08036.Barcelona. Tel. 932 275 545
Departamento de urología. Hospital clínic. Universitat de barcelona, España.
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"apellidos" => "Ribal Caparrós" "email" => array:1 [ 0 => "mjribal@clinic.ub.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Lluís" "apellidos" => "Peri Cusí" ] 2 => array:2 [ "nombre" => "Alejandro" "apellidos" => "Molina Cabeza" ] 3 => array:2 [ "nombre" => "Alexa" "apellidos" => "García Larrosa" ] 4 => array:2 [ "nombre" => "Francisco" "apellidos" => "Carmona" ] 5 => array:2 [ "nombre" => "Antonio" "apellidos" => "Alcaraz Asensio" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de urología. Hospital clínic. Universitat de barcelona, España." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dra. María J. Ribal Caparrós Departamento de Urología. Hospital Clínic i Provincial Villarroel 170-08036.Barcelona. Tel. 932 275 545" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "First report on hybrid transvaginal nephrectomy for renal cancer" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-01-01" "fechaAceptado" => "2009-02-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88912" "palabras" => array:3 [ 0 => "Nefrectomía radical" 1 => "NOTES híbrida" 2 => "Transvaginal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88911" "palabras" => array:3 [ 0 => "Radical nephrectomy" 1 => "Hybrid NOTES" 2 => "Transvaginal" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Resumen</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La cirugía NOTES (Natural Orifice Transluminal Endoscopic Surgery) es una modalidad quirúrgica que utiliza las vísceras huecas para acceder a la cavidad peritoneal, evitando así incisiones en la piel. Si combinamos este tipo de cirugía con la laparoscopia convencional, obtenemos una técnica híbrida que nos permitirá abordar órganos grandes, como el riñón, disminuyendo al máximo las incisiones cutáneas. Presentamos el primer caso de nefrectomía radical híbrida transvaginal por cáncer renal. Para poder realizar este procedimiento, se utilizó el acceso vaginal para la colocación de una cámara deflectable y la asistencia de dos puertos abdominales. La incisión del trócar vaginal se amplió para la extracción de la pieza quirúrgica. La nefrectomía híbrida transvaginal NOTES asistida debe considerarse, una técnica quirúrgica factible y reproducible que debe ser considerada como opción terapéutica en pacientes mujeres candidatas a nefrectomía por cáncer renal.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Abstract</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">NOTES (Natural Orifice Transluminal Endoscopic Surgery) is a surgical modality that uses empty organs as an access to the peritoneal cavity, avoiding skin incisions. If we combine this surgery with the classical laparoscopic approach, a new hybrid technique is obtained. This approach will permit us to work on wide operating fields with large organs, as the kidney, minimizing skin incisions. We present the first hybrid transvaginal radical nephrectomy due to renal cancer. In order to perform this procedure, we used a vaginal access for introduction of a deflectable camera and the assistance of two additional abdominal trocars. The vaginal incision for the trocar was enlarged for organ removal. Hybrid transvaginally NOTES assisted radical nephrectomy is a reproducible and feasible technique that has to be kept in mind for women who are candidates to nephrectomy for renal cancer.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib0001" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transvaginal laparoscopic nephrectomy: development and feasibility in the porcine model" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "M.T. Gettman" 1 => "Y. Lotan" 2 => "C.A. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 14 | 14 |
| 2024 Septiembre | 0 | 7 | 7 |
| 2024 Agosto | 0 | 3 | 3 |
| 2024 Julio | 0 | 8 | 8 |
| 2024 Junio | 0 | 8 | 8 |
| 2024 Mayo | 0 | 12 | 12 |
| 2024 Abril | 0 | 16 | 16 |
| 2024 Marzo | 0 | 32 | 32 |
| 2024 Febrero | 0 | 11 | 11 |
| 2024 Enero | 0 | 16 | 16 |
| 2023 Diciembre | 0 | 22 | 22 |
| 2023 Noviembre | 0 | 45 | 45 |
| 2023 Octubre | 0 | 32 | 32 |
| 2023 Septiembre | 0 | 21 | 21 |
| 2023 Agosto | 0 | 19 | 19 |
| 2023 Julio | 0 | 33 | 33 |
| 2023 Junio | 0 | 5 | 5 |
| 2023 Mayo | 0 | 11 | 11 |
| 2023 Abril | 0 | 2 | 2 |
| 2023 Marzo | 3 | 5 | 8 |
| 2023 Febrero | 0 | 4 | 4 |
| 2023 Enero | 0 | 5 | 5 |
| 2022 Noviembre | 0 | 8 | 8 |
| 2022 Octubre | 0 | 7 | 7 |
| 2022 Septiembre | 0 | 6 | 6 |
| 2022 Agosto | 0 | 6 | 6 |
| 2022 Julio | 0 | 5 | 5 |
| 2022 Junio | 0 | 11 | 11 |
| 2022 Mayo | 0 | 14 | 14 |
| 2022 Abril | 0 | 5 | 5 |
| 2022 Marzo | 0 | 6 | 6 |
| 2021 Diciembre | 0 | 10 | 10 |
| 2021 Noviembre | 0 | 1 | 1 |
| 2021 Octubre | 0 | 4 | 4 |
| 2021 Septiembre | 0 | 1 | 1 |
| 2021 Agosto | 0 | 2 | 2 |
| 2021 Julio | 0 | 2 | 2 |
| 2021 Junio | 0 | 2 | 2 |
| 2021 Mayo | 0 | 2 | 2 |
| 2021 Abril | 0 | 17 | 17 |
| 2021 Marzo | 0 | 1 | 1 |
| 2021 Febrero | 0 | 4 | 4 |
| 2020 Diciembre | 0 | 5 | 5 |
| 2020 Octubre | 0 | 1 | 1 |
| 2020 Septiembre | 0 | 4 | 4 |
| 2020 Agosto | 0 | 8 | 8 |
| 2020 Julio | 0 | 2 | 2 |
| 2020 Mayo | 0 | 6 | 6 |
| 2020 Abril | 0 | 3 | 3 |
| 2020 Marzo | 0 | 4 | 4 |
| 2020 Febrero | 0 | 1 | 1 |
| 2020 Enero | 0 | 6 | 6 |
| 2019 Diciembre | 0 | 9 | 9 |
| 2019 Noviembre | 0 | 1 | 1 |
| 2019 Octubre | 0 | 5 | 5 |
| 2019 Septiembre | 0 | 6 | 6 |
| 2019 Agosto | 0 | 2 | 2 |
| 2019 Julio | 0 | 6 | 6 |
| 2019 Junio | 0 | 14 | 14 |
| 2019 Mayo | 0 | 44 | 44 |
| 2019 Abril | 0 | 22 | 22 |
| 2019 Marzo | 0 | 10 | 10 |
| 2019 Febrero | 0 | 15 | 15 |
| 2019 Enero | 0 | 1 | 1 |
| 2018 Diciembre | 0 | 10 | 10 |
| 2018 Noviembre | 0 | 17 | 17 |
| 2018 Octubre | 0 | 7 | 7 |
| 2018 Agosto | 0 | 1 | 1 |
| 2018 Julio | 0 | 1 | 1 |
| 2018 Febrero | 3 | 0 | 3 |
| 2018 Enero | 0 | 0 | 0 |
| 2017 Diciembre | 0 | 2 | 2 |
| 2017 Noviembre | 7 | 3 | 10 |
| 2017 Octubre | 11 | 2 | 13 |
| 2017 Septiembre | 6 | 6 | 12 |
| 2017 Agosto | 6 | 7 | 13 |
| 2017 Julio | 5 | 4 | 9 |
| 2017 Junio | 4 | 8 | 12 |
| 2017 Mayo | 2 | 4 | 6 |
| 2017 Abril | 6 | 2 | 8 |
| 2017 Marzo | 19 | 9 | 28 |
| 2017 Febrero | 6 | 6 | 12 |
| 2017 Enero | 1 | 1 | 2 |
| 2016 Diciembre | 24 | 2 | 26 |
| 2016 Noviembre | 25 | 2 | 27 |
| 2016 Octubre | 42 | 17 | 59 |
| 2016 Septiembre | 19 | 2 | 21 |
| 2016 Agosto | 14 | 1 | 15 |
| 2016 Julio | 21 | 3 | 24 |
| 2016 Junio | 21 | 25 | 46 |
| 2016 Mayo | 26 | 16 | 42 |
| 2016 Abril | 19 | 15 | 34 |
| 2016 Marzo | 23 | 18 | 41 |
| 2016 Febrero | 9 | 22 | 31 |
| 2016 Enero | 38 | 24 | 62 |
| 2015 Diciembre | 20 | 21 | 41 |
| 2015 Noviembre | 16 | 6 | 22 |
| 2015 Octubre | 23 | 8 | 31 |
| 2015 Septiembre | 11 | 5 | 16 |
| 2015 Agosto | 7 | 4 | 11 |
| 2015 Julio | 26 | 5 | 31 |
| 2015 Junio | 12 | 2 | 14 |
| 2015 Mayo | 11 | 9 | 20 |
| 2015 Abril | 14 | 11 | 25 |
| 2015 Marzo | 28 | 2 | 30 |
| 2015 Febrero | 6 | 4 | 10 |
| 2015 Enero | 17 | 4 | 21 |
| 2014 Diciembre | 12 | 9 | 21 |
| 2014 Noviembre | 15 | 3 | 18 |
| 2014 Octubre | 30 | 9 | 39 |
| 2014 Septiembre | 23 | 3 | 26 |
| 2014 Agosto | 19 | 5 | 24 |
| 2014 Julio | 24 | 8 | 32 |
| 2014 Junio | 21 | 7 | 28 |
| 2014 Mayo | 15 | 4 | 19 |
| 2014 Abril | 10 | 5 | 15 |
| 2014 Marzo | 13 | 1 | 14 |
| 2014 Febrero | 9 | 5 | 14 |
| 2014 Enero | 12 | 2 | 14 |
| 2013 Diciembre | 11 | 1 | 12 |
| 2013 Noviembre | 10 | 4 | 14 |
| 2013 Octubre | 7 | 7 | 14 |
| 2013 Septiembre | 6 | 8 | 14 |
| 2013 Agosto | 6 | 2 | 8 |
| 2013 Julio | 3 | 1 | 4 |
| 2009 Marzo | 363 | 0 | 363 |
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