Nefrectomía laparoscópica simple con asistencia de notes transvaginal y uso de instrumentos laparoscópicos estándar
Laparoscopic simple nephrectomy with transvaginal notes assistance and the use of standard laparoscopic instruments
Octavio A. Castilloa,b,c,1
, Ivar Vidal-Moraa, Rodrigo Camposa, Alejandro Foneróna, Miguel Feria-Floresa, Reinaldo Gómeza, Francisco Sepúlvedaa
Autor para correspondencia
octaviocastillo@vtr.net
Correspondencia autor: Dr. Octavio A. Castillo F.A.C.S. Av. Apoquindo 3990, Of. 809, Las Condes. Santiago de Chile. Código postal:7550112 Fax: (56-2) 228 25 24
Correspondencia autor: Dr. Octavio A. Castillo F.A.C.S. Av. Apoquindo 3990, Of. 809, Las Condes. Santiago de Chile. Código postal:7550112 Fax: (56-2) 228 25 24
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Castillo F.A.C.S. Av. Apoquindo 3990, Of. 809, Las Condes. Santiago de Chile. Código postal:7550112 Fax: (56-2) 228 25 24" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Laparoscopic simple nephrectomy with transvaginal notes assistance and the use of standard laparoscopic instruments" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-05-01" "fechaAceptado" => "2009-06-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec89076" "palabras" => array:3 [ 0 => "Cirugía mínimamente invasiva" 1 => "Nefrectomía" 2 => "NOTES" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec89077" "palabras" => array:3 [ 0 => "Minimally invasive surgery" 1 => "Nephrectomy" 2 => "NOTES" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La cirugía endoscópica transluminal a través de orificios naturales (NOTES™) es una tecnología emergente, que permite realizar procedimientos quirúrgicos sin el uso de incisiones abdominales. Sin embargo existen limitaciones respecto al equipamiento disponible para simular la cirugía tradicional. Nuestro objetivo es presentar nuestra experiencia con la técnica de nefrectomía transvaginal NOTES con el uso de instrumentos laparoscópicos estándar.</p> <span class="elsevierStyleSectionTitle">Materiales y Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos dos pacientes de sexo femenino de 23 y 26 años, ambas con diagnóstico de infecciones urinarias recurrentes y atrofia renal secundaria. Se les realizó una nefrectomía simple con asistencia de NOTES, utilizando un puerto de trabajo transvaginal para la cámara y dos puertos adicionales de 10 (umbilical) y 3 mm en el abdomen.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El procedimiento total duró 120 min en el primer caso y 40 minutos en el segundo, con una pérdida sanguínea promedio de 200 cc. (0-200). No se reportan complicaciones, siendo ambas pacientes dadas de alta 36 horas después de su cirugía.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La nefrectomía laparoscópica con asistencia de NOTES transvaginal es técnicamente posible con el uso de instrumentos laparoscópicos estándar. El desarrollo y acceso a trócares y pinzas especiales para la técnica NOTES™, permitirá realizar una técnica pura sin el uso de incisiones abdominales.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Natural orifice transluminal endoscopic surgery (NOTES) is an emerging technique, which allows to performed surgical procedures avoiding any surgical scars. However there are some problems due to the lack of equipment available for these procedures. The aim of these study is to present our initial experience with the transvaginal nephrectomy NOTES using standard laparoscopic instruments.</p> <span class="elsevierStyleSectionTitle">Material and Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Two female patients 23 and 29 years old, both of them with diagnosis of recurrent urinary tract infection and renal atrophy. A transvaginal simple nephrectomy was performed using a transvaginal Access for the camera port and two abdominal work ports of 10 and 3mm.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Total operation room time was 120 min in the first case and 40 min. in the second. with an average blood loss of 200 cc. There were no perioperative complications, and both patients was discharged 36 hours after the surgery</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Laparoscopic nephrectomy with transvaginal NOTES assistance is technically feasible with the use of standard laparoscopic instruments. Special Access trocars and instruments development for this procedure will allow to perform a pure technique without the use of abdominal incisions.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "ASGE/SAGES Working Group. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 11 | 11 |
| 2024 Septiembre | 0 | 23 | 23 |
| 2024 Agosto | 0 | 11 | 11 |
| 2024 Julio | 0 | 8 | 8 |
| 2024 Junio | 0 | 3 | 3 |
| 2024 Mayo | 0 | 12 | 12 |
| 2024 Abril | 0 | 15 | 15 |
| 2024 Marzo | 0 | 22 | 22 |
| 2024 Febrero | 0 | 4 | 4 |
| 2024 Enero | 0 | 6 | 6 |
| 2023 Diciembre | 0 | 16 | 16 |
| 2023 Noviembre | 0 | 28 | 28 |
| 2023 Octubre | 0 | 40 | 40 |
| 2023 Septiembre | 0 | 10 | 10 |
| 2023 Agosto | 0 | 15 | 15 |
| 2023 Julio | 0 | 72 | 72 |
| 2023 Junio | 0 | 33 | 33 |
| 2023 Mayo | 0 | 4 | 4 |
| 2023 Abril | 0 | 7 | 7 |
| 2023 Marzo | 1 | 13 | 14 |
| 2023 Febrero | 0 | 9 | 9 |
| 2023 Enero | 0 | 10 | 10 |
| 2022 Diciembre | 0 | 2 | 2 |
| 2022 Noviembre | 0 | 11 | 11 |
| 2022 Octubre | 0 | 5 | 5 |
| 2022 Septiembre | 0 | 8 | 8 |
| 2022 Agosto | 0 | 14 | 14 |
| 2022 Julio | 0 | 4 | 4 |
| 2022 Junio | 0 | 6 | 6 |
| 2022 Mayo | 0 | 8 | 8 |
| 2022 Abril | 0 | 2 | 2 |
| 2022 Marzo | 0 | 2 | 2 |
| 2022 Febrero | 0 | 1 | 1 |
| 2022 Enero | 0 | 0 | 0 |
| 2021 Diciembre | 0 | 7 | 7 |
| 2021 Noviembre | 0 | 5 | 5 |
| 2021 Octubre | 0 | 2 | 2 |
| 2021 Agosto | 0 | 2 | 2 |
| 2021 Julio | 0 | 5 | 5 |
| 2021 Junio | 0 | 3 | 3 |
| 2021 Mayo | 0 | 2 | 2 |
| 2021 Abril | 0 | 5 | 5 |
| 2021 Marzo | 0 | 4 | 4 |
| 2021 Febrero | 0 | 7 | 7 |
| 2021 Enero | 0 | 4 | 4 |
| 2020 Diciembre | 0 | 2 | 2 |
| 2020 Noviembre | 0 | 14 | 14 |
| 2020 Octubre | 0 | 4 | 4 |
| 2020 Septiembre | 0 | 8 | 8 |
| 2020 Agosto | 0 | 5 | 5 |
| 2020 Julio | 0 | 1 | 1 |
| 2020 Mayo | 0 | 7 | 7 |
| 2020 Abril | 0 | 10 | 10 |
| 2020 Marzo | 0 | 7 | 7 |
| 2020 Febrero | 0 | 9 | 9 |
| 2020 Enero | 0 | 11 | 11 |
| 2019 Diciembre | 0 | 5 | 5 |
| 2019 Noviembre | 0 | 11 | 11 |
| 2019 Octubre | 0 | 4 | 4 |
| 2019 Septiembre | 0 | 16 | 16 |
| 2019 Agosto | 0 | 8 | 8 |
| 2019 Julio | 0 | 9 | 9 |
| 2019 Junio | 0 | 20 | 20 |
| 2019 Mayo | 0 | 40 | 40 |
| 2019 Abril | 0 | 27 | 27 |
| 2019 Marzo | 0 | 1 | 1 |
| 2019 Febrero | 0 | 16 | 16 |
| 2019 Enero | 0 | 3 | 3 |
| 2018 Diciembre | 0 | 16 | 16 |
| 2018 Noviembre | 0 | 21 | 21 |
| 2018 Octubre | 0 | 13 | 13 |
| 2018 Agosto | 0 | 2 | 2 |
| 2018 Abril | 0 | 3 | 3 |
| 2018 Febrero | 1 | 0 | 1 |
| 2018 Enero | 4 | 3 | 7 |
| 2017 Diciembre | 1 | 3 | 4 |
| 2017 Noviembre | 3 | 7 | 10 |
| 2017 Octubre | 4 | 5 | 9 |
| 2017 Septiembre | 3 | 10 | 13 |
| 2017 Agosto | 2 | 7 | 9 |
| 2017 Julio | 7 | 11 | 18 |
| 2017 Junio | 10 | 18 | 28 |
| 2017 Mayo | 12 | 19 | 31 |
| 2017 Abril | 21 | 11 | 32 |
| 2017 Marzo | 19 | 27 | 46 |
| 2017 Febrero | 8 | 8 | 16 |
| 2017 Enero | 2 | 5 | 7 |
| 2016 Diciembre | 21 | 9 | 30 |
| 2016 Noviembre | 18 | 7 | 25 |
| 2016 Octubre | 28 | 10 | 38 |
| 2016 Septiembre | 10 | 8 | 18 |
| 2016 Agosto | 8 | 6 | 14 |
| 2016 Julio | 13 | 3 | 16 |
| 2016 Junio | 19 | 33 | 52 |
| 2016 Mayo | 18 | 50 | 68 |
| 2016 Abril | 15 | 24 | 39 |
| 2016 Marzo | 10 | 31 | 41 |
| 2016 Febrero | 17 | 26 | 43 |
| 2016 Enero | 11 | 24 | 35 |
| 2015 Diciembre | 13 | 24 | 37 |
| 2015 Noviembre | 13 | 19 | 32 |
| 2015 Octubre | 18 | 14 | 32 |
| 2015 Septiembre | 16 | 19 | 35 |
| 2015 Agosto | 17 | 9 | 26 |
| 2015 Julio | 13 | 11 | 24 |
| 2015 Junio | 6 | 9 | 15 |
| 2015 Mayo | 22 | 10 | 32 |
| 2015 Abril | 13 | 18 | 31 |
| 2015 Marzo | 12 | 20 | 32 |
| 2015 Febrero | 12 | 8 | 20 |
| 2015 Enero | 27 | 3 | 30 |
| 2014 Diciembre | 29 | 12 | 41 |
| 2014 Noviembre | 44 | 5 | 49 |
| 2014 Octubre | 36 | 4 | 40 |
| 2014 Septiembre | 26 | 2 | 28 |
| 2014 Agosto | 31 | 3 | 34 |
| 2014 Julio | 26 | 1 | 27 |
| 2014 Junio | 21 | 6 | 27 |
| 2014 Mayo | 16 | 4 | 20 |
| 2014 Abril | 14 | 5 | 19 |
| 2014 Marzo | 13 | 0 | 13 |
| 2014 Febrero | 13 | 7 | 20 |
| 2014 Enero | 9 | 1 | 10 |
| 2013 Diciembre | 14 | 3 | 17 |
| 2013 Noviembre | 7 | 2 | 9 |
| 2013 Octubre | 4 | 7 | 11 |
| 2013 Septiembre | 5 | 10 | 15 |
| 2013 Agosto | 3 | 13 | 16 |
| 2013 Julio | 4 | 3 | 7 |
| 2009 Junio | 460 | 0 | 460 |
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