Nefrectomía radical laparoscópica en piezas quirúrgicas de gran tamaño
Laparoscopic radial nephrectomy in big surgical specimens
Sergio Alonso1
, Gregorio1, S. Sánchez, C. Soler, A. Rando, M. Girón, J. Ángel Tabernero Gómez, A. Aguilera, Jesús Cisneros Ledo, Javier de la Peña Barthel
Autor para correspondencia
garavelos@terra.es
Correspondencia autor: Dr. Sergio Alonso y Gregorio Servicio de Urología. Hospital Universitario La Paz Paseo de la Castellana, 261.28046 Madrid. Telf: 917 277 000
Correspondencia autor: Dr. Sergio Alonso y Gregorio Servicio de Urología. Hospital Universitario La Paz Paseo de la Castellana, 261.28046 Madrid. Telf: 917 277 000
Servicio de Urología. Hospital Universitario La Paz. Madrid. España.
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Aguilera, Jesús Cisneros Ledo, Javier de la Peña Barthel" "autores" => array:10 [ 0 => array:4 [ "nombre" => "Sergio" "apellidos" => "Alonso" "email" => array:1 [ 0 => "garavelos@terra.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "apellidos" => "Gregorio" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Sánchez" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Soler" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Rando" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Girón" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Ángel Tabernero Gómez" ] 7 => array:2 [ "nombre" => "A." "apellidos" => "Aguilera" ] 8 => array:2 [ "nombre" => "Jesús" "apellidos" => "Cisneros Ledo" ] 9 => array:2 [ "nombre" => "Javier" "apellidos" => "de la Peña Barthel" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "<span class="elsevierStyleItalic">Servicio de Urología. Hospital Universitario La Paz. Madrid. España.</span>" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Sergio Alonso y Gregorio Servicio de Urología. Hospital Universitario La Paz Paseo de la Castellana, 261.28046 Madrid. Telf: 917 277 000" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Laparoscopic radial nephrectomy in big surgical specimens" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-03-01" "fechaAceptado" => "2009-05-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec89065" "palabras" => array:3 [ 0 => "Laparoscopia" 1 => "Nefrectomía" 2 => "Cáncer renal" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec89064" "palabras" => array:3 [ 0 => "Laparoscopy" 1 => "Nephrectomy" 2 => "Renal cancer" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La cirugía retroperitoneal constituye la indicación más indiscutible para el abordaje laparoscópico. Todavía persisten indicaciones de cirugía abierta en función de la complejidad del caso y de la experiencia del cirujano.</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El objetivo principal es comunicar nuestra experiencia de nefrectomía radical laparoscópica en pacientes con tumores ?7 cm o con piezas quirúrgicas cuyo peso haya sido ?700 g. Analizaremos sus características, la tasa de complicaciones intraoperatorias, el tiempo quirúrgico, el curso postoperatorio así como la estancia postoperatoria.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Desde julio del 2004 hasta julio del 2008 hemos realizado un total de 104 nefrectomías radicales laparoscópicas. Hemos seleccionado un subgrupo de 41 pacientes con criterios de pieza quirúrgica de gran tamaño.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El tiempo quirúrgico medio ha sido de 184,3 minutos. Hemos tenido un caso de reconversión a cirugía abierta y un fallecimiento intraoperatorio por causa cardiológico. La estancia media global ha sido de 3,51 días. La tasa de complicaciones y el curso postoperatorio son comparables a toda la serie.</p> <span class="elsevierStyleSectionTitle">Discusión</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La nefrectomía laparoscópica es técnicamente menos compleja que la prostatectomía radical laparoscópica. Sin embargo, sus posibles complicaciones entrañan una gravedad mucho mayor. Los casos más complejos han de ser abordados por vía laparoscópica sólo cuando existe una dilatada experiencia. En general, en nuestro centro relegamos a cirugía abierta las piezas que sobrepasan la línea media y los casos con trombo tumoral que afecte a la vena renal principal y a la VCI.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The retroperitoneal surgery is the clearer indication for the laparoscopic approach. Still there are indications for open surgery because of the complexity of the patient and the surgeon experience.</p> <span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The main objective is to report our experience of laparoscopic radical nephrectomies in patient with tumors greater than 7 cm. or surgical specimens with more than 700 g of weight. We analyze their characteristics, complications rate, surgical time, postoperative outcome and hospital stay.</p> <span class="elsevierStyleSectionTitle">Materials and methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Since july 2004 to july 2008 we have performed 104 laparoscopic radical nephrectomies. We have selected 41 patients with characteristics of big surgical specimens.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The average surgical time has been of 184,3 min. Only 1 case has been converted into open surgery and only 1 intraoperative death because of cardiologic arrhythmia. The average hospital stay has been of 3,51 days. The complications rate and postoperative outcome are similar to the whole series.</p> <span class="elsevierStyleSectionTitle">Discussion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Laparoscopic nephrectomy is technically less complex than radical prostatectomy. However, their possible complication implies a much bigger severity. The more complex cases must be approach laparoscopically only after a wide experience. Actually, in our department we usually indicate an open approach when surgical specimen crossover the abdominal middle line and in those cases where the tumoral thrombus affect the main renal vein and/or the vena cava.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:14 [ 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. Kavoussi" 2 => "N.J. Soper" 3 => "S.M. Dierks" 4 => "S. Meretyk" 5 => "M.D. Darcy" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "1991" "volumen" => "146" "numero" => "2" "paginaInicial" => "278" "paginaFinal" => "282" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1830346" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Laparoscopic nephroureterectomy: initial clinical case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R.V. Clayman" 1 => "L.R. Kavoussi" 2 => "R.S. Figenshau" 3 => "P.S. Chandhoke" 4 => "D.M. Albala" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Laparoendosc Surg" "fecha" => "1991" "volumen" => "1" "numero" => "6" "paginaInicial" => "343" "paginaFinal" => "349" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1838941" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prospective randomized comparison of transperitoneal versus retroperitoneal laparoscopic radical nephrectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.M. Desai" 1 => "B. Strzempkowski" 2 => "S.F. Matin" 3 => "A.P. Steinberg" 4 => "C. Ng" 5 => "A.M. Meraney" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/01.ju.0000145886.26719.73" "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "2005" "volumen" => "173" "numero" => "1" "paginaInicial" => "38" "paginaFinal" => "41" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15592021" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prospective, randomized controlled study: transperitoneal laparoscopic versus retroperitoneoscopic radical nephrectomy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "T. Nambirajan" 1 => "S. Jeschke" 2 => "H. Al-Zahrani" 3 => "G. Vrabec" 4 => "K. Leeb" 5 => "G. Janetschek" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.urology.2004.06.057" "Revista" => array:7 [ "tituloSerie" => "Urology" "fecha" => "2004" "volumen" => "64" "numero" => "5" "paginaInicial" => "919" "paginaFinal" => "924" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15533478" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nephrectomy: A comparative study between the transperitoneal and retroperitoneal laparoscopic versus the open approach" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J. Rassweiler" 1 => "T. Frede" 2 => "T.O. Henkel" 3 => "C. Stock" 4 => "P. Alken" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Eur Urol" "fecha" => "1998" "volumen" => "33" "numero" => "5" "paginaInicial" => "489" "paginaFinal" => "496" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9643669" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Oncologic outcome of 132 cases of laparoscopic radical nephrectomy with intact specimen removal for T1-2N0M0 renal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.K. Hemal" 1 => "A. Kumar" 2 => "N.P. Gupta" 3 => "R. Kumar" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00345-007-0210-7" "Revista" => array:7 [ "tituloSerie" => "World J Urol" "fecha" => "2007" "volumen" => "25" "numero" => "6" "paginaInicial" => "619" "paginaFinal" => "626" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17786453" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Oncological outcomes of laparoscopic radical nephrectomy for renal cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.R. Colombo Jr" 1 => "G.P. Haber" 2 => "M. Aron" 3 => "M. Cocuzza" 4 => "R. Colombo" 5 => "J. Kaouk" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clinics (Sao Paulo)" "fecha" => "2007" "volumen" => "62" "numero" => "3" "paginaInicial" => "251" "paginaFinal" => "256" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Seven years after laparoscopic radical nephrectomy: oncologic and renal functional outcomes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.R. Colombo Jr." 1 => "G.P. Haber" 2 => "J.E. Jelovsek" 3 => "B. Lane" 4 => "A.C. Novick" 5 => "I.S. Gill" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.urology.2007.11.081" "Revista" => array:7 [ "tituloSerie" => "Urology" "fecha" => "2008" "volumen" => "71" "numero" => "6" "paginaInicial" => "1149" "paginaFinal" => "1154" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18313111" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Retroperitoneal laparoscopic surgery; initial experience in the Hospital La Paz" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "A. Aguilera Bazán" 1 => "Alonso" 2 => "S. Gregorio" 3 => "R. Cansino Alcaide" 4 => "L. Hidalgo Togores" 5 => "J. Cisneros Ledo" 6 => "J. de la Peña Barthel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Actas Urol Esp" "fecha" => "2005" "volumen" => "29" "numero" => "7" "paginaInicial" => "657" "paginaFinal" => "661" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16180315" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Laparoscopic radical nephrectomy: the new gold standard surgical treatment for localized renal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.Y. Eskicorapci" 1 => "D. Teber" 2 => "M. Schulze" 3 => "M. Ates" 4 => "C. Stock" 5 => "J.J. Rassweiler" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1100/tsw.2007.153" "Revista" => array:6 [ "tituloSerie" => "ScientificWorldJournal" "fecha" => "2007" "volumen" => "7" "paginaInicial" => "825" "paginaFinal" => "836" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17619767" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Laparoscopic radical nephrectomy for large (greater then 7 cm, T2) renal tumors" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A.P. Steinberg" 1 => "A. Finelli" 2 => "M.M. Desai" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Urol" "fecha" => "2004" "volumen" => "172" "numero" => "6 Pt 1" "paginaInicial" => "2172" "paginaFinal" => "2176" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15538225" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transperitoneal laparoscopic radical nephrectomy for large (more than 7 cm) renal masses" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A.D. Berger" 1 => "J.A. Kanofsky" 2 => "R.L. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 5 | 5 |
| 2024 Septiembre | 0 | 10 | 10 |
| 2024 Agosto | 0 | 4 | 4 |
| 2024 Julio | 0 | 4 | 4 |
| 2024 Junio | 0 | 5 | 5 |
| 2024 Mayo | 0 | 9 | 9 |
| 2024 Abril | 0 | 9 | 9 |
| 2024 Marzo | 0 | 25 | 25 |
| 2024 Febrero | 0 | 9 | 9 |
| 2024 Enero | 0 | 7 | 7 |
| 2023 Diciembre | 0 | 12 | 12 |
| 2023 Noviembre | 0 | 25 | 25 |
| 2023 Octubre | 0 | 33 | 33 |
| 2023 Septiembre | 0 | 9 | 9 |
| 2023 Agosto | 0 | 17 | 17 |
| 2023 Julio | 0 | 67 | 67 |
| 2023 Junio | 0 | 15 | 15 |
| 2023 Mayo | 0 | 3 | 3 |
| 2023 Abril | 0 | 1 | 1 |
| 2023 Marzo | 1 | 1 | 2 |
| 2023 Febrero | 0 | 7 | 7 |
| 2023 Enero | 0 | 3 | 3 |
| 2022 Diciembre | 0 | 3 | 3 |
| 2022 Noviembre | 0 | 5 | 5 |
| 2022 Octubre | 0 | 2 | 2 |
| 2022 Septiembre | 0 | 9 | 9 |
| 2022 Agosto | 0 | 22 | 22 |
| 2022 Julio | 0 | 4 | 4 |
| 2022 Junio | 0 | 5 | 5 |
| 2022 Mayo | 0 | 3 | 3 |
| 2022 Abril | 0 | 10 | 10 |
| 2022 Marzo | 0 | 7 | 7 |
| 2022 Febrero | 0 | 2 | 2 |
| 2022 Enero | 0 | 3 | 3 |
| 2021 Diciembre | 0 | 2 | 2 |
| 2021 Noviembre | 0 | 3 | 3 |
| 2021 Agosto | 0 | 3 | 3 |
| 2021 Julio | 0 | 3 | 3 |
| 2021 Junio | 0 | 2 | 2 |
| 2021 Mayo | 0 | 4 | 4 |
| 2021 Abril | 0 | 4 | 4 |
| 2021 Marzo | 0 | 4 | 4 |
| 2021 Febrero | 0 | 1 | 1 |
| 2021 Enero | 0 | 1 | 1 |
| 2020 Diciembre | 0 | 3 | 3 |
| 2020 Noviembre | 0 | 5 | 5 |
| 2020 Octubre | 0 | 6 | 6 |
| 2020 Septiembre | 0 | 5 | 5 |
| 2020 Agosto | 0 | 8 | 8 |
| 2020 Julio | 0 | 5 | 5 |
| 2020 Junio | 0 | 5 | 5 |
| 2020 Mayo | 0 | 9 | 9 |
| 2020 Abril | 0 | 5 | 5 |
| 2020 Marzo | 0 | 8 | 8 |
| 2020 Febrero | 0 | 22 | 22 |
| 2020 Enero | 0 | 8 | 8 |
| 2019 Diciembre | 0 | 24 | 24 |
| 2019 Noviembre | 0 | 1 | 1 |
| 2019 Octubre | 0 | 9 | 9 |
| 2019 Septiembre | 0 | 8 | 8 |
| 2019 Agosto | 0 | 8 | 8 |
| 2019 Julio | 0 | 7 | 7 |
| 2019 Junio | 0 | 18 | 18 |
| 2019 Mayo | 0 | 59 | 59 |
| 2019 Abril | 0 | 15 | 15 |
| 2019 Marzo | 0 | 6 | 6 |
| 2019 Febrero | 0 | 13 | 13 |
| 2019 Enero | 0 | 2 | 2 |
| 2018 Diciembre | 0 | 10 | 10 |
| 2018 Noviembre | 0 | 20 | 20 |
| 2018 Octubre | 0 | 14 | 14 |
| 2018 Septiembre | 0 | 1 | 1 |
| 2018 Junio | 0 | 1 | 1 |
| 2018 Abril | 0 | 2 | 2 |
| 2018 Febrero | 0 | 1 | 1 |
| 2018 Enero | 1 | 2 | 3 |
| 2017 Diciembre | 0 | 3 | 3 |
| 2017 Noviembre | 2 | 7 | 9 |
| 2017 Octubre | 4 | 1 | 5 |
| 2017 Septiembre | 4 | 8 | 12 |
| 2017 Agosto | 5 | 3 | 8 |
| 2017 Julio | 7 | 3 | 10 |
| 2017 Junio | 9 | 6 | 15 |
| 2017 Mayo | 7 | 13 | 20 |
| 2017 Abril | 7 | 9 | 16 |
| 2017 Marzo | 18 | 39 | 57 |
| 2017 Febrero | 2 | 8 | 10 |
| 2017 Enero | 0 | 2 | 2 |
| 2016 Diciembre | 18 | 5 | 23 |
| 2016 Noviembre | 19 | 5 | 24 |
| 2016 Octubre | 23 | 2 | 25 |
| 2016 Septiembre | 14 | 11 | 25 |
| 2016 Agosto | 13 | 4 | 17 |
| 2016 Julio | 15 | 8 | 23 |
| 2016 Junio | 14 | 23 | 37 |
| 2016 Mayo | 16 | 40 | 56 |
| 2016 Abril | 11 | 22 | 33 |
| 2016 Marzo | 16 | 26 | 42 |
| 2016 Febrero | 6 | 20 | 26 |
| 2016 Enero | 14 | 22 | 36 |
| 2015 Diciembre | 12 | 22 | 34 |
| 2015 Noviembre | 10 | 22 | 32 |
| 2015 Octubre | 23 | 23 | 46 |
| 2015 Septiembre | 7 | 8 | 15 |
| 2015 Agosto | 11 | 5 | 16 |
| 2015 Julio | 14 | 7 | 21 |
| 2015 Junio | 4 | 6 | 10 |
| 2015 Mayo | 9 | 9 | 18 |
| 2015 Abril | 9 | 18 | 27 |
| 2015 Marzo | 10 | 15 | 25 |
| 2015 Febrero | 6 | 5 | 11 |
| 2015 Enero | 19 | 6 | 25 |
| 2014 Diciembre | 13 | 8 | 21 |
| 2014 Noviembre | 4 | 2 | 6 |
| 2014 Octubre | 9 | 6 | 15 |
| 2014 Septiembre | 17 | 1 | 18 |
| 2014 Agosto | 8 | 7 | 15 |
| 2014 Julio | 6 | 1 | 7 |
| 2014 Junio | 7 | 3 | 10 |
| 2014 Mayo | 4 | 3 | 7 |
| 2014 Abril | 3 | 5 | 8 |
| 2014 Marzo | 6 | 1 | 7 |
| 2014 Febrero | 4 | 4 | 8 |
| 2014 Enero | 6 | 2 | 8 |
| 2013 Diciembre | 4 | 3 | 7 |
| 2013 Noviembre | 1 | 4 | 5 |
| 2013 Octubre | 1 | 16 | 17 |
| 2013 Septiembre | 5 | 16 | 21 |
| 2013 Agosto | 4 | 15 | 19 |
| 2013 Julio | 3 | 3 | 6 |
| 2009 Junio | 254 | 0 | 254 |
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