COVID-19
Regístrese
metricas
covid
Actas Urológicas Españolas
Suscríbase a esta revista
Buscar en
Actas Urológicas Españolas
Toda la web
Inicio Actas Urológicas Españolas Nefroureterectomía radical asistida por robot para el carcinoma urotelial del t...
Información de la revista
Volver al artículo

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Artículo original
Nefroureterectomía radical asistida por robot para el carcinoma urotelial del tracto urinario superior: resultados peri y postoperatorios
Robot-assisted radical nephroureterectomy for upper tract urothelial carcinoma: Peri and postoperative outcomes
B. Mesnard
Autor para correspondencia
benoit.mesnard@chu-nantes.fr

Autor para correspondencia.
, S. de Vergie, I. Chelghaf, O. Bouchot, M.A. Perrouin Verbe, G. Karam, J. Branchereau, J. Rigaud
Department of Urology and Transplantation Surgery, Nantes University Hospital, Nantes, Francia
Leído
31
Veces
se ha leído el artículo
13
Total PDF
18
Total HTML
Compartir estadísticas
 array:24 [
  "pii" => "S0210480623000475"
  "issn" => "02104806"
  "doi" => "10.1016/j.acuro.2023.02.003"
  "estado" => "S300"
  "fechaPublicacion" => "2023-09-01"
  "aid" => "1536"
  "copyright" => "AEU"
  "copyrightAnyo" => "2023"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "fla"
  "cita" => "Actas Urol Esp. 2023;47:441-9"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S2173578623000409"
      "issn" => "21735786"
      "doi" => "10.1016/j.acuroe.2023.03.004"
      "estado" => "S300"
      "fechaPublicacion" => "2023-09-01"
      "aid" => "1536"
      "copyright" => "AEU"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "fla"
      "cita" => "Actas Urol Esp. 2023;47:441-9"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:1 [
        "total" => 0
      ]
      "en" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
        "titulo" => "Robot-assisted radical nephroureterectomy for upper tract urothelial carcinoma&#58; Peri and postoperative outcomes"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "tieneResumen" => array:2 [
          0 => "en"
          1 => "es"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "441"
            "paginaFinal" => "449"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Nefroureterectom&#237;a radical asistida por robot para el carcinoma urotelial del tracto urinario superior&#58; resultados peri y postoperatorios"
          ]
        ]
        "contieneResumen" => array:2 [
          "en" => true
          "es" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:8 [
            "identificador" => "fig0005"
            "etiqueta" => "Figure 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 1327
                "Ancho" => 1258
                "Tamanyo" => 62410
              ]
            ]
            "detalles" => array:1 [
              0 => array:3 [
                "identificador" => "at0005"
                "detalle" => "Figure "
                "rol" => "short"
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Oncological outcomes after robot-assisted radical nephroureterectomy for upper tract urothelial carcinoma &#40;n&#8239;&#61;&#8239;29&#41;&#46; Disease Free Survival &#40;DFS&#41; according to Kaplan Meier&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "B&#46; Mesnard, S&#46; de Vergie, I&#46; Chelghaf, O&#46; Bouchot, M&#46;A&#46; Perrouin Verbe, G&#46; Karam, J&#46; Branchereau, J&#46; Rigaud"
            "autores" => array:8 [
              0 => array:2 [
                "nombre" => "B&#46;"
                "apellidos" => "Mesnard"
              ]
              1 => array:2 [
                "nombre" => "S&#46;"
                "apellidos" => "de Vergie"
              ]
              2 => array:2 [
                "nombre" => "I&#46;"
                "apellidos" => "Chelghaf"
              ]
              3 => array:2 [
                "nombre" => "O&#46;"
                "apellidos" => "Bouchot"
              ]
              4 => array:2 [
                "nombre" => "M&#46;A&#46;"
                "apellidos" => "Perrouin Verbe"
              ]
              5 => array:2 [
                "nombre" => "G&#46;"
                "apellidos" => "Karam"
              ]
              6 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Branchereau"
              ]
              7 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Rigaud"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "es" => array:9 [
          "pii" => "S0210480623000475"
          "doi" => "10.1016/j.acuro.2023.02.003"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "es"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480623000475?idApp=UINPBA00004N"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578623000409?idApp=UINPBA00004N"
      "url" => "/21735786/0000004700000007/v3_202402041424/S2173578623000409/v3_202402041424/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0210480623000712"
    "issn" => "02104806"
    "doi" => "10.1016/j.acuro.2023.03.010"
    "estado" => "S300"
    "fechaPublicacion" => "2023-09-01"
    "aid" => "1550"
    "copyright" => "AEU"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "cita" => "Actas Urol Esp. 2023;47:450-6"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:14 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Art&#237;culo original</span>"
      "titulo" => "Implantaci&#243;n de un programa de mininefrolitotom&#237;a percut&#225;nea ambulatoria&#58; presentaci&#243;n del protocolo y resultados iniciales"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "tieneResumen" => array:3 [
        0 => "es"
        1 => "es"
        2 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "450"
          "paginaFinal" => "456"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Initial results of the implementation of an ambulatory mini percutaneous nephrolithotomy program"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 1
        "multimedia" => array:5 [
          "identificador" => "fig0010"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => false
          "mostrarDisplay" => true
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "fx1.jpeg"
              "Alto" => 728
              "Ancho" => 1333
              "Tamanyo" => 163224
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Abella Serra, S&#46; Colom Feixas, C&#46; Torrecilla Ortiz, J&#46;M&#46; Cuadrado Campa&#241;a, N&#46; de Fuentes Beltruz, A&#46; Cabrera Coma, A&#46; S&#225;nchez Allueva, M&#46; Castells Esteve, F&#46; Vigu&#233;s Juli&#224;"
          "autores" => array:9 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Abella Serra"
            ]
            1 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Colom Feixas"
            ]
            2 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Torrecilla Ortiz"
            ]
            3 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Cuadrado Campa&#241;a"
            ]
            4 => array:2 [
              "nombre" => "N&#46;"
              "apellidos" => "de Fuentes Beltruz"
            ]
            5 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Cabrera Coma"
            ]
            6 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "S&#225;nchez Allueva"
            ]
            7 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Castells Esteve"
            ]
            8 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Vigu&#233;s Juli&#224;"
            ]
          ]
        ]
      ]
      "resumen" => array:1 [
        0 => array:3 [
          "titulo" => "Graphical abstract"
          "clase" => "graphical"
          "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall"><elsevierMultimedia ident="fig0010"></elsevierMultimedia></p></span>"
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173578623000616"
        "doi" => "10.1016/j.acuroe.2023.03.005"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578623000616?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480623000712?idApp=UINPBA00004N"
    "url" => "/02104806/0000004700000007/v1_202309041826/S0210480623000712/v1_202309041826/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0210480623000049"
    "issn" => "02104806"
    "doi" => "10.1016/j.acuro.2022.12.006"
    "estado" => "S300"
    "fechaPublicacion" => "2023-09-01"
    "aid" => "1521"
    "copyright" => "AEU"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "cita" => "Actas Urol Esp. 2023;47:430-40"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Art&#237;culo original</span>"
      "titulo" => "El estado inmunol&#243;gico-inflamatorio-nutricional predice los resultados oncol&#243;gicos tras la cistectom&#237;a radical por carcinoma urotelial de vejiga"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "430"
          "paginaFinal" => "440"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Immune-inflammatory-nutritional status predicts oncologic outcomes after radical cystectomy for urothelial carcinoma of bladder"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0020"
          "etiqueta" => "Figura 4"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr4.jpeg"
              "Alto" => 1073
              "Ancho" => 3258
              "Tamanyo" => 435044
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Curvas de Kaplan-Meier para supervivencia global &#40;A&#44; C&#44; E&#44; G&#44; I y K&#41; y supervivencia libre de recurrencia &#40;B&#44; D&#44; F&#44; H&#44; J y L&#41;&#46; Curvas de Kaplan-Meier seg&#250;n EIIN favorable y EIIN desfavorable en pacientes pT0-2 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>78&#44; A y B&#41; y pT3-4 &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>95&#44; C y D&#41;&#46; Curvas de Kaplan-Meier seg&#250;n EIIN favorable y EIIN desfavorable en pacientes pN<span class="elsevierStyleSup">&#8722;</span> &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>109&#44; E y F&#41; y pN<span class="elsevierStyleSup">&#43;</span> &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>63&#44; G y H&#41;&#46; Curvas de Kaplan-Meier seg&#250;n EIIN favorable y EIIN desfavorable en pacientes que no recibieron quimioterapia adyuvante &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>107&#44; I y J&#41; y en pacientes que recibieron quimioterapia adyuvante &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>64&#44; K y L&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "K&#46; Teke, I&#46;E&#46; Avci, N&#46;B&#46; Cinar, E&#46;A&#46; Baynal, E&#46; Bosnali, S&#46; Polat, H&#46; Yilmaz, O&#46; Kara, O&#46; Dillioglugil"
          "autores" => array:9 [
            0 => array:2 [
              "nombre" => "K&#46;"
              "apellidos" => "Teke"
            ]
            1 => array:2 [
              "nombre" => "I&#46;E&#46;"
              "apellidos" => "Avci"
            ]
            2 => array:2 [
              "nombre" => "N&#46;B&#46;"
              "apellidos" => "Cinar"
            ]
            3 => array:2 [
              "nombre" => "E&#46;A&#46;"
              "apellidos" => "Baynal"
            ]
            4 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Bosnali"
            ]
            5 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Polat"
            ]
            6 => array:2 [
              "nombre" => "H&#46;"
              "apellidos" => "Yilmaz"
            ]
            7 => array:2 [
              "nombre" => "O&#46;"
              "apellidos" => "Kara"
            ]
            8 => array:2 [
              "nombre" => "O&#46;"
              "apellidos" => "Dillioglugil"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173578623000033"
        "doi" => "10.1016/j.acuroe.2023.01.001"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578623000033?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480623000049?idApp=UINPBA00004N"
    "url" => "/02104806/0000004700000007/v1_202309041826/S0210480623000049/v1_202309041826/es/main.assets"
  ]
  "es" => array:19 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Art&#237;culo original</span>"
    "titulo" => "Nefroureterectom&#237;a radical asistida por robot para el carcinoma urotelial del tracto urinario superior&#58; resultados peri y postoperatorios"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "441"
        "paginaFinal" => "449"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "B&#46; Mesnard, S&#46; de Vergie, I&#46; Chelghaf, O&#46; Bouchot, M&#46;A&#46; Perrouin Verbe, G&#46; Karam, J&#46; Branchereau, J&#46; Rigaud"
        "autores" => array:8 [
          0 => array:4 [
            "nombre" => "B&#46;"
            "apellidos" => "Mesnard"
            "email" => array:1 [
              0 => "benoit.mesnard@chu-nantes.fr"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "S&#46;"
            "apellidos" => "de Vergie"
          ]
          2 => array:2 [
            "nombre" => "I&#46;"
            "apellidos" => "Chelghaf"
          ]
          3 => array:2 [
            "nombre" => "O&#46;"
            "apellidos" => "Bouchot"
          ]
          4 => array:2 [
            "nombre" => "M&#46;A&#46;"
            "apellidos" => "Perrouin Verbe"
          ]
          5 => array:2 [
            "nombre" => "G&#46;"
            "apellidos" => "Karam"
          ]
          6 => array:2 [
            "nombre" => "J&#46;"
            "apellidos" => "Branchereau"
          ]
          7 => array:2 [
            "nombre" => "J&#46;"
            "apellidos" => "Rigaud"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Department of Urology and Transplantation Surgery&#44; Nantes University Hospital&#44; Nantes&#44; Francia"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Autor para correspondencia&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Robot-assisted radical nephroureterectomy for upper tract urothelial carcinoma&#58; Peri and postoperative outcomes"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1213
            "Ancho" => 1237
            "Tamanyo" => 63002
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Resultados oncol&#243;gicos tras nefroureterectom&#237;a radical asistida por robot para carcinoma urotelial del tracto superior &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&#41;&#46; Supervivencia libre de enfermedad &#40;SLE&#41; seg&#250;n Kaplan-Meier&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introducci&#243;n</span><p id="par0005" class="elsevierStylePara elsevierViewall">El tratamiento de referencia para los tumores uroteliales localizados del tracto urinario superior con alto riesgo de mortalidad espec&#237;fica es la nefroureterectom&#237;a radical &#40;NUR&#41; con escisi&#243;n del manguito vesical<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">1</span></a>&#46; En los casos de tumor multifocal&#44; de un tama&#241;o superior a 2<span class="elsevierStyleHsp" style=""></span>cm&#44; infiltrante&#44; de alto grado en la biopsia o no apto para el tratamiento focal&#44; se requiere la extirpaci&#243;n del tumor as&#237; como de toda la v&#237;a excretora con el fin de reducir el riesgo de recidiva<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">2&#8211;4</span></a>&#46; Aunque inicialmente este procedimiento se realizaba por medio de un abordaje abierto&#44; posteriormente se desarroll&#243; la NUR por v&#237;a laparosc&#243;pica debido a su naturaleza m&#237;nimamente invasiva&#46; Sin embargo&#44; esta requer&#237;a conocimientos muy avanzados en las t&#233;cnicas laparosc&#243;picas debido a las dificultades en la disecci&#243;n de determinados tumores uroteliales y asociadas al manejo exclusivamente laparosc&#243;pico del manguito vesical&#46; Adem&#225;s&#44; los resultados oncol&#243;gicos del abordaje laparosc&#243;pico en el tratamiento de los tumores localmente avanzados parecen ser inferiores<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">5</span></a>&#44; limitando as&#237; sus indicaciones&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">La cirug&#237;a laparosc&#243;pica asistida por robot&#44; adem&#225;s de incrementar la destreza y la visi&#243;n tridimensional&#44; parece ofrecer numerosas ventajas en la realizaci&#243;n de las NUR&#46; Las primeras descripciones para la estandarizaci&#243;n de la nefroureterectom&#237;a radical laparosc&#243;pica asistida por robot &#40;NURAR&#41; datan de 2006<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">6</span></a> y han evolucionado gracias al desarrollo de la rob&#243;tica<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">7</span></a>&#44; permitiendo el establecimiento de la t&#233;cnica quir&#250;rgica &#40;<span class="elsevierStyleItalic">single-docking</span> o &#250;nico acoplamiento&#41;&#46; Sin embargo&#44; a pesar de la publicaci&#243;n de las primeras series de NURAR<a class="elsevierStyleCrossRefs" href="#bib0185"><span class="elsevierStyleSup">8&#44;9</span></a>&#44; actualmente contamos con pocos datos que nos permitan establecer de forma concluyente la seguridad de la NURAR en el tratamiento de los tumores uroteliales de alto riesgo del tracto urinario superior&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">El objetivo principal de nuestro estudio monoc&#233;ntrico fue evaluar la seguridad intra y postoperatoria de la NURAR&#44; as&#237; como los resultados oncol&#243;gicos a mediano plazo&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Poblaci&#243;n</span><p id="par0020" class="elsevierStylePara elsevierViewall">Hemos realizado un estudio retrospectivo y monoc&#233;ntrico de los registros de todos los pacientes sometidos a NURAR entre el 1 de enero de 2015 y el 1 de octubre de 2021&#46; Las indicaciones de la NURAR fueron las siguientes&#58; sospecha de tumor urotelial del tracto urinario superior caracterizado por un riesgo alto de mortalidad espec&#237;fica susceptible de tratamiento con NUR seg&#250;n las recomendaciones europeas<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">1</span></a> vigentes en ese momento&#44; y considerado por el cirujano como apto para cirug&#237;a laparosc&#243;pica asistida por robot&#46; Todas las indicaciones se discutieron individualmente y se validaron en un comit&#233; multidisciplinar&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">T&#233;cnica quir&#250;rgica</span><p id="par0025" class="elsevierStylePara elsevierViewall">Todas las cirug&#237;as fueron realizadas por 4 cirujanos con amplia experiencia en cirug&#237;a rob&#243;tica&#46; Las NURAR fueron asistidas por el robot Da Vinci Si&#174; y&#44; a partir de 2017&#44; con el robot Da Vinci Xi&#174; &#40;Intuitive Surgical&#44; Sunnyvale&#44; CA&#44; EE&#46; UU&#46;&#41;&#46; Las cirug&#237;as se realizaron seg&#250;n los principios establecidos por Patel et al&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">7</span></a>&#46; Se posiciona al paciente en dec&#250;bito lateral y se coloca un coj&#237;n lumbar&#46; Con la plataforma Da Vinci Si&#174;&#44; se introdujo el puerto de c&#225;mara en l&#237;nea pararrectal al nivel del ombligo&#46; Se insert&#243; un trocar rob&#243;tico en direcci&#243;n craneal &#40;tomando como distancia el ancho de la mano&#41; por encima del puerto de c&#225;mara y lateralmente al m&#250;sculo recto&#46; Se introdujo un trocar rob&#243;tico en direcci&#243;n caudal y lateral &#40;ancho de la mano&#41; al trocar de la c&#225;mara y al m&#250;sculo recto&#46; El &#250;ltimo trocar rob&#243;tico se introdujo caudalmente al ombligo en la l&#237;nea media&#46; Se coloc&#243; un trocar de 12<span class="elsevierStyleHsp" style=""></span>mm para el asistente 2<span class="elsevierStyleHsp" style=""></span>cm cranealmente al ombligo en la l&#237;nea media&#46; Cuando se utiliz&#243; el Da Vinci Xi&#174;&#44; todos los trocares rob&#243;ticos se introdujeron pararrectalmente&#46; El trocar &#243;ptico se introdujo a trav&#233;s del ombligo&#46; Se coloc&#243; un trocar rob&#243;tico cranealmente y otros 2 caudalmente&#46; Se coloc&#243; un trocar auxiliar en la l&#237;nea media entre el trocar &#243;ptico y el rob&#243;tico&#46; Los trocares estaban separados por el ancho de una mano&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Inicialmente&#44; el ri&#241;&#243;n&#44; el ur&#233;ter y la grasa perirrenal se liberaron en bloque&#46; La disecci&#243;n de los ganglios linf&#225;ticos lumboa&#243;rticos<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>il&#237;acos se realiz&#243; a discreci&#243;n del cirujano en funci&#243;n de cada caso &#40;presencia de linfadenopat&#237;a significativa en las im&#225;genes o por hallazgos intraoperatorios&#41;&#46; A continuaci&#243;n&#44; el rodete vesical se manej&#243; sistem&#225;ticamente con laparoscopia asistida por robot sin tiempo previo de endoscopia vesical&#46; Cuando fue posible&#44; todo el procedimiento se llev&#243; a cabo con un &#250;nico acoplamiento &#40;sin reacoplamiento&#41;&#44; solo movilizando los brazos del robot hacia la vejiga para crear el rodete vesical&#46; Una vez liberados&#44; los tejidos resecados se extrajeron mediante una Endo Bag&#174; &#40;Medtronic&#44; Dubl&#237;n&#44; Irlanda&#41; a trav&#233;s de una contraincisi&#243;n il&#237;aca para evitar su fragmentaci&#243;n&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Seguimiento y an&#225;lisis estad&#237;stico</span><p id="par0035" class="elsevierStylePara elsevierViewall">La extracci&#243;n retrospectiva incluy&#243; datos pre&#44; intra y postoperatorios&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">La estadificaci&#243;n anatomopatol&#243;gica se realiz&#243; seg&#250;n la clasificaci&#243;n TNM 2017<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">10</span></a> y por la clasificaci&#243;n de la OMS 2004<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">11</span></a> para tipo histol&#243;gico y grado tumoral&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">El seguimiento oncol&#243;gico se realiz&#243; mediante tomograf&#237;a computarizada toracoabdominop&#233;lvica&#44; cistoscopia y citolog&#237;a urinaria<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">1&#44;12</span></a>&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Las complicaciones &#40;morbimortalidad&#41; se agruparon de acuerdo a los 5 grados de la clasificaci&#243;n de Clavien-Dindo<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">13</span></a>&#46; Las complicaciones mayores o iguales al grado <span class="elsevierStyleSmallCaps">iii</span> se definieron como complicaciones graves&#46; Las complicaciones desarrolladas durante el postoperatorio precoz se definieron como la aparici&#243;n de una complicaci&#243;n en los 30 d&#237;as siguientes a la intervenci&#243;n&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Las variables continuas se expresaron por su mediana y los datos categ&#243;ricos por su n&#250;mero y porcentaje&#46; Los datos de supervivencia se presentaron mediante el m&#233;todo de Kaplan-Meier&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Esta investigaci&#243;n estaba sujeta a la legislaci&#243;n francesa y a la ley Jard&#233;&#44; la cual regula la investigaci&#243;n que involucra a la persona humana &#40;referencia CNIL&#58; 2221375 v&#46; 0&#41;&#46;</p></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Resultados</span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Caracter&#237;sticas de los pacientes</span><p id="par0065" class="elsevierStylePara elsevierViewall">Se realizaron un total de 29 NURAR&#46; La mediana de edad fue de 66 a&#241;os y la proporci&#243;n de sexos 2&#58;7&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Las caracter&#237;sticas de la poblaci&#243;n se presentan en la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#46; La localizaci&#243;n principal de los tumores fue la pelvis renal y los c&#225;lices renales &#40;69&#37;&#41;&#46; Se realiz&#243; una ureterorrenoscopia endosc&#243;pica previa a la NURAR en el 37&#44;9&#37; de los casos&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Datos intraoperatorios</span><p id="par0075" class="elsevierStylePara elsevierViewall">Los datos intraoperatorios se presentan en la <a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#46; M&#225;s de dos tercios de los procedimientos se realizaron con la asistencia del robot Da Vinci Xi&#174;&#46; Se pudo llevar a cabo el total de la cirug&#237;a sin reacoplamiento en el 80&#37; de los casos realizados con el robot Da Vinci Xi&#174;&#46; Solo un paciente requiri&#243; conversi&#243;n intraoperatoria a cirug&#237;a abierta debido a dificultades en la disecci&#243;n&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Morbilidad postoperatoria</span><p id="par0080" class="elsevierStylePara elsevierViewall">No se observaron muertes en el periodo intraoperatorio ni en el postoperatorio&#46; La duraci&#243;n media de la estancia hospitalaria tras la NURAR fue de 5 d&#237;as&#46; La morbilidad a los 30 d&#237;as fue del 31&#37; para toda la poblaci&#243;n &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#44; y 3 de estos pacientes &#40;10&#44;3&#37;&#41; presentaron morbilidad grave&#44; requiriendo intervenci&#243;n quir&#250;rgica&#46; Dos pacientes presentaron una complicaci&#243;n tard&#237;a de ascitis quilosa que requiri&#243; drenaje percut&#225;neo y eventraci&#243;n contralateral a la contraincisi&#243;n il&#237;aca&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Resultados oncol&#243;gicos y seguimiento</span><p id="par0085" class="elsevierStylePara elsevierViewall">El an&#225;lisis histol&#243;gico revel&#243; carcinoma urotelial principalmente&#44; con una mayor&#237;a de tumores localmente avanzados &#40;50&#37; de los tumores clasificados como T3-T4&#41;&#46; En un caso se trataba de una recidiva ureteral de un tumor rectal que hab&#237;a sido tratado previamente&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">En los casos en los que se realiz&#243; disecci&#243;n ganglionar&#44; se extirp&#243; una mediana de 12 ganglios linf&#225;ticos&#44; con invasi&#243;n ganglionar metast&#225;sica en el 36&#44;3&#37; de los casos &#40;se muestra en la <a class="elsevierStyleCrossRef" href="#tbl0015">tabla 3</a>&#41;&#46; De los pacientes clasificados como pN&#43;&#44; el 50&#37; ten&#237;a m&#225;s de un ganglio linf&#225;tico afectado y 7 de 8 pacientes presentaban invasi&#243;n capsular&#46; El 50&#37; de los pacientes clasificados como pN&#43; presentaron una recurrencia de la enfermedad con un tiempo de supervivencia libre de recurrencia muy corto &#40;mediana&#58; 2 meses&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0095" class="elsevierStylePara elsevierViewall">La mediana de seguimiento fue de 20 &#91;RIQ 6-40&#93; meses&#46; En el comit&#233; multidisciplinar se propuso la indicaci&#243;n de quimioterapia adyuvante en 9 pacientes&#46; Estos pacientes presentaban un tumor clasificado como pT3&#44; pT4 o asociado a afectaci&#243;n ganglionar &#40;N1&#44; N2&#41;&#46; Tres de estos pacientes no recibieron quimioterapia adyuvante&#58; 2 por deterioro de su estado general y uno por funci&#243;n renal incompatible con quimioterapia&#46; Uno de los 2 primeros present&#243; progresi&#243;n a met&#225;stasis visceral &#40;pulmonar&#41; y muri&#243; a los 2 meses de la cirug&#237;a&#46; Los otros 2 pacientes no tuvieron recidiva&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Durante el seguimiento&#44; un paciente experiment&#243; una recidiva en el compartimento de la nefrectom&#237;a &#40;reevaluaci&#243;n un mes antes de la quimioterapia adyuvante&#41;&#46; Se trataba de un paciente cuyo examen anatomopatol&#243;gico final revel&#243; un tumor urotelial pT3 N2 R1 de alto grado con &#233;mbolos vasculares&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Otros 2 pacientes presentaron una segunda lesi&#243;n vesical despu&#233;s de 20 y 75 meses de la NURAR&#44; respectivamente&#46; Ninguno de estos 2 pacientes ten&#237;a antecedentes de tumor vesical&#46; A uno de los pacientes se le hab&#237;a realizado una ureteroscopia flexible para evaluar el tumor urotelial&#46; Otro paciente presentaba un tumor urotelial multifocal pTa de bajo grado en ur&#233;ter medio con una lesi&#243;n vesical 20 meses m&#225;s tarde en forma de pTa de bajo grado&#46; El segundo paciente presentaba un tumor pT1 de alto grado de la pelvis renal&#44; con una lesi&#243;n vesical 75 meses m&#225;s tarde con aspecto de pT1a de alto grado asociado a carcinoma <span class="elsevierStyleItalic">in situ</span>&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Ning&#250;n paciente experiment&#243; recidiva peritoneal o en los orificios de los trocares&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Se observ&#243; progresi&#243;n metast&#225;sica en 4 pacientes&#58; 3 presentaron afectaci&#243;n pulmonar&#44; 2 de ellos desde la primera revisi&#243;n postoperatoria&#46; Uno muri&#243; sin recibir tratamiento quimioter&#225;pico debido a un deterioro del estado general y el segundo paciente sigue actualmente en tratamiento&#46; Un paciente experiment&#243; una recidiva retroperitoneal y posteriormente pulmonar a los 20 meses del postoperatorio&#46; Recibi&#243; inmunoterapia con pembrolizumab con estabilizaci&#243;n de las lesiones persistentes tras 10 meses de tratamiento &#40;contraindicaci&#243;n para la quimioterapia debido a una funci&#243;n renal demasiado deteriorada&#41;&#46; El &#250;ltimo paciente present&#243; progresi&#243;n suprarrenal y cerebral&#44; con un inicio precoz de la primera localizaci&#243;n &#40;un mes&#41;&#44; y recibi&#243; quimioterapia &#40;carboplatino Gemzar&#174;&#41; seguida de mantenimiento con avelumab hasta la progresi&#243;n cerebral y la muerte a los 16 meses de la cirug&#237;a&#46; Estos 4 pacientes ten&#237;an una enfermedad clasificada inicialmente como pT3-pT4&#44; pN&#43; de alto grado&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">La supervivencia global estimada en la mediana del tiempo de seguimiento &#40;20 meses&#41; fue del 90&#44;6&#37;&#46; La supervivencia libre de recidiva estimada en la mediana del tiempo de seguimiento &#40;20 meses&#41; fue del 75&#44;2&#37; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Discusi&#243;n</span><p id="par0125" class="elsevierStylePara elsevierViewall">Nuestro estudio presenta los datos de seguridad quir&#250;rgica&#44; as&#237; como los datos de seguridad oncol&#243;gica de NURAR a lo largo de un periodo de 6 a&#241;os&#46; La validaci&#243;n de una nueva t&#233;cnica m&#237;nimamente invasiva requiere la no inferioridad de estos 2 criterios con respecto al tratamiento de referencia&#44; la NUR&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">En cuanto a la seguridad intra y postoperatoria&#44; nuestro estudio concuerda con los datos de la literatura<a class="elsevierStyleCrossRefs" href="#bib0185"><span class="elsevierStyleSup">8&#44;14&#8211;16</span></a> y respalda la seguridad de la NURAR para el tratamiento de los tumores del tracto urinario superior&#46; As&#237; pues&#44; con la asistencia rob&#243;tica de Da Vinci Xi&#174;&#44; la gran mayor&#237;a de los pacientes pudieron beneficiarse de la NURAR sin requerir un segundo acoplamiento y solo un paciente requiri&#243; conversi&#243;n debido a dificultades en la disecci&#243;n&#46; Conviene se&#241;alar que los tumores tratados en nuestro centro mediante NURAR eran lesiones bastante avanzadas&#44; con un porcentaje superior al 50&#37; de los tumores pT3 o pT4 y un tercio con afectaci&#243;n ganglionar&#46; Esta proporci&#243;n de tumores localmente avanzados es mayor que la de otras series publicadas en la literatura&#46; Entre los 3 pacientes con resecci&#243;n R1&#44; el margen de resecci&#243;n positivo era sistem&#225;ticamente opuesto a la disecci&#243;n ganglionar&#44; lo que pone de manifiesto la dificultad de disecar el tejido ganglionar metast&#225;sico&#46; La morbilidad postoperatoria a los 30 d&#237;as tambi&#233;n fue coherente con la bibliograf&#237;a&#44; con una tasa baja de &#171;complicaciones graves&#187; y una duraci&#243;n media de la estancia hospitalaria de aproximadamente 5 d&#237;as<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">14&#44;16&#44;17</span></a>&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">En cuanto a la seguridad oncol&#243;gica y la recidiva tumoral&#44; es importante se&#241;alar que ninguno de los pacientes experiment&#243; recidiva peritoneal ni recidiva en los orificios de los trocares&#46; Se hab&#237;a evidenciado un mayor riesgo de recurrencia en estos 2 sitios durante la NUR laparosc&#243;pica<a class="elsevierStyleCrossRefs" href="#bib0235"><span class="elsevierStyleSup">18&#44;19</span></a>&#46; Sin embargo&#44; rara vez se informan en el contexto de la cirug&#237;a asistida por robot<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">16</span></a>&#46; La supervivencia libre de recurrencia estimada en la mediana del tiempo de seguimiento &#40;20 meses&#41; fue del 75&#44;2&#37;&#46; De Groote et al&#46;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">16</span></a> comunicaron en 2019 una supervivencia libre de recidiva estimada a los 2 y 4 a&#241;os del 63 y el 53&#37;&#44; respectivamente&#46; Lim et al&#46; informaron tasas del 71&#44;5 y el 68&#44;1&#37; a los 2 y 5 a&#241;os&#44; respectivamente&#46; Los dem&#225;s datos de la literatura coincidieron con nuestro estudio &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">tabla 4</a>&#41;<a class="elsevierStyleCrossRefs" href="#bib0185"><span class="elsevierStyleSup">8&#44;20&#8211;22</span></a>&#46; Estas tasas de supervivencia libre de recurrencia son equivalentes a las observadas con la NUR abierta<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">2&#44;3</span></a>&#46; Tambi&#233;n son equivalentes a las encontradas en nuestro centro cuando la NUR se realiz&#243; por v&#237;a abierta o laparosc&#243;pica<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">23</span></a>&#46; La tasa de mortalidad estimada fue del 90&#44;6&#37; en la mediana del tiempo de seguimiento &#40;20 meses&#41;&#46; Aunque no tenemos mucha perspectiva en este aspecto&#44; la elevada tasa de supervivencia libre de recidiva fue tranquilizadora&#44; teniendo en cuenta la asociaci&#243;n entre la supervivencia libre de recidiva y la supervivencia global<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">24</span></a>&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><p id="par0140" class="elsevierStylePara elsevierViewall">La principal fortaleza de nuestro estudio es que se trata de una cohorte amplia procedente de un solo centro con una serie grande de pacientes tratados con asistencia rob&#243;tica Da Vinci Xi&#174; y que se han beneficiado al m&#225;ximo de NURAR sin reacoplamiento&#46; Estos datos nos permiten confirmar la viabilidad del procedimiento&#44; garantizando al mismo tiempo la seguridad quir&#250;rgica y oncol&#243;gica&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Nuestro estudio tiene ciertas limitaciones&#59; las principales est&#225;n relacionadas con su dise&#241;o&#58; se trata de un estudio observacional retrospectivo y no controlado&#46; Adem&#225;s&#44; como el periodo de inclusi&#243;n se prolong&#243; durante 6 a&#241;os&#44; existe una discrepancia entre las pr&#225;cticas encontradas en nuestra serie y las directrices m&#225;s recientes<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">1</span></a>&#46; As&#237;&#44; la tasa de quimioterapia neoadyuvante en nuestra cohorte es nula&#44; aunque el nivel de evidencia avala este tratamiento en determinados tumores localmente avanzados<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">25</span></a>&#46; La &#250;ltima limitaci&#243;n est&#225; relacionada con la duraci&#243;n del seguimiento y el n&#250;mero de eventos&#44; que no permiten un an&#225;lisis estad&#237;stico fiable para determinar los factores de riesgo de recidiva y mortalidad&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Conclusi&#243;n</span><p id="par0150" class="elsevierStylePara elsevierViewall">En nuestra experiencia a lo largo de m&#225;s de 6 a&#241;os&#44; la realizaci&#243;n de NURAR para el tratamiento de los tumores del tracto urinario superior parece cumplir los criterios de seguridad quir&#250;rgica y los de seguridad oncol&#243;gica&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Consideraciones &#233;ticas</span><p id="par0155" class="elsevierStylePara elsevierViewall">Aprobaci&#243;n del protocolo de investigaci&#243;n por una Junta de Revisi&#243;n Institucional&#58; 2221375 v&#46; 0&#46; Consentimiento informado&#58; S&#237;&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Financiaci&#243;n</span><p id="par0160" class="elsevierStylePara elsevierViewall">Ninguna&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Conflicto de intereses</span><p id="par0165" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:13 [
        0 => array:3 [
          "identificador" => "xres1957969"
          "titulo" => "Resumen"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abst0005"
              "titulo" => "Introducci&#243;n"
            ]
            1 => array:2 [
              "identificador" => "abst0010"
              "titulo" => "M&#233;todos"
            ]
            2 => array:2 [
              "identificador" => "abst0015"
              "titulo" => "Resultados"
            ]
            3 => array:2 [
              "identificador" => "abst0020"
              "titulo" => "Conclusi&#243;n"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec1685158"
          "titulo" => "Palabras clave"
        ]
        2 => array:3 [
          "identificador" => "xres1957970"
          "titulo" => "Abstract"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abst0025"
              "titulo" => "Introduction"
            ]
            1 => array:2 [
              "identificador" => "abst0030"
              "titulo" => "Methods"
            ]
            2 => array:2 [
              "identificador" => "abst0035"
              "titulo" => "Results"
            ]
            3 => array:2 [
              "identificador" => "abst0040"
              "titulo" => "Conclusion"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec1685157"
          "titulo" => "Keywords"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introducci&#243;n"
        ]
        5 => array:3 [
          "identificador" => "sec0010"
          "titulo" => "M&#233;todos"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0015"
              "titulo" => "Poblaci&#243;n"
            ]
            1 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "T&#233;cnica quir&#250;rgica"
            ]
            2 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "Seguimiento y an&#225;lisis estad&#237;stico"
            ]
          ]
        ]
        6 => array:3 [
          "identificador" => "sec0030"
          "titulo" => "Resultados"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Caracter&#237;sticas de los pacientes"
            ]
            1 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "Datos intraoperatorios"
            ]
            2 => array:2 [
              "identificador" => "sec0045"
              "titulo" => "Morbilidad postoperatoria"
            ]
            3 => array:2 [
              "identificador" => "sec0050"
              "titulo" => "Resultados oncol&#243;gicos y seguimiento"
            ]
          ]
        ]
        7 => array:2 [
          "identificador" => "sec0055"
          "titulo" => "Discusi&#243;n"
        ]
        8 => array:2 [
          "identificador" => "sec0060"
          "titulo" => "Conclusi&#243;n"
        ]
        9 => array:2 [
          "identificador" => "sec0065"
          "titulo" => "Consideraciones &#233;ticas"
        ]
        10 => array:2 [
          "identificador" => "sec0070"
          "titulo" => "Financiaci&#243;n"
        ]
        11 => array:2 [
          "identificador" => "sec0075"
          "titulo" => "Conflicto de intereses"
        ]
        12 => array:1 [
          "titulo" => "Bibliograf&#237;a"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2023-01-19"
    "fechaAceptado" => "2023-02-15"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec1685158"
          "palabras" => array:4 [
            0 => "Neoplasias urol&#243;gicas"
            1 => "Carcinoma del tracto urinario superior"
            2 => "Procedimientos quir&#250;rgicos rob&#243;ticos"
            3 => "Nefroureterectom&#237;a"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1685157"
          "palabras" => array:4 [
            0 => "Urologic neoplasms"
            1 => "Upper tract carcinoma"
            2 => "Robotic surgical procedures"
            3 => "Nephroureterectomy"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:3 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La nefroureterectom&#237;a radical constituye el tratamiento de los tumores uroteliales del tracto urinario superior con alto riesgo de mortalidad espec&#237;fica&#46; La nefroureterectom&#237;a radical laparosc&#243;pica asistida por robot &#40;NURAR&#41; todav&#237;a est&#225; siendo investigada para establecer de manera concluyente la seguridad del procedimiento en el tratamiento de los tumores uroteliales del tracto urinario superior&#46; El objetivo principal es evaluar la seguridad intra y postoperatoria de la NURAR y&#44; posteriormente&#44; evaluar los resultados oncol&#243;gicos a mediano plazo&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se trata de un estudio retrospectivo monoc&#233;ntrico basado en una recopilaci&#243;n de NURAR realizadas entre el 1 de enero de 2015 y el 1 de octubre de 2021&#46; Las NURAR se llevaron a cabo con la asistencia del robot Da Vinci Si&#174; y&#44; desde 2017&#44; con el robot Da Vinci Xi&#174;&#46; Siempre que fue posible&#44; la totalidad del procedimiento se llev&#243; a cabo sin reacoplamiento <span class="elsevierStyleItalic">&#40;re-docking&#41;&#46;</span></p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Entre el 1 de enero de 2015 y el 1 de octubre de 2021&#44; se realizaron 29 NURAR en nuestro centro&#46; En el 80&#37; de los casos se pudo realizar toda la cirug&#237;a sin reacoplamiento con el robot Da Vinci Xi&#174;&#46; Un paciente requiri&#243; conversi&#243;n a cirug&#237;a abierta por dificultad en la disecci&#243;n&#46; El 50&#37; de los tumores se clasificaron como T3 o T4&#46; La tasa de complicaciones a los 30 d&#237;as fue del 31&#37;&#46; La duraci&#243;n media de la estancia hospitalaria fue de 5 d&#237;as&#46; La supervivencia libre de enfermedad en el tiempo medio de supervivencia &#40;27&#44;5 meses&#41; fue del 75&#44;2&#37;&#46; Un paciente tuvo una recidiva en el compartimento de la nefrectom&#237;a y ning&#250;n paciente tuvo recidiva peritoneal o en los orificios de los trocares&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La realizaci&#243;n de NURAR para el tratamiento de los tumores del tracto urinario superior parece cumplir los criterios de seguridad quir&#250;rgica y oncol&#243;gica&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Introducci&#243;n"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "M&#233;todos"
          ]
          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Resultados"
          ]
          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusi&#243;n"
          ]
        ]
      ]
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The treatment of urothelial tumours of the upper urinary tract at high risk of specific mortality is based on radical nephroureterectomy&#46; Robotic-assisted laparoscopic radical nephroureterectomy &#40;RARNU&#41; is still under investigation to definitively establish the safety of this procedure in the management of urothelial tumours of the upper urinary tract&#46; The primary objective is to evaluate the intra- and postoperative safety of RARNU and&#44; subsequently&#44; to evaluate the medium-term oncological results&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Our study is a retrospective&#44; mono-centric study with a collection of RARNUs conducted between 1st January 2015 and 1st October 2021&#46; The RARNUs were performed with the assistance of the Da Vinci Si&#174; robot&#44; then from 2017 the Da Vinci Xi&#174; robot&#46; Whenever possible&#44; the entire procedure was carried out without re-docking&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Between 1st January 2015 and 1st October 2021&#44; 29 RARNUs were carried out at our centre&#46; Complete surgery without re-docking was possible in 80&#37; of cases with the Da Vinci Xi&#174; robot&#46; One patient required conversion to open surgery due to difficult dissection&#46; A percentage of 50 of tumours were classified as T3 or T4&#46; The 30-day complication rate was 31&#37;&#46; The median length of hospitalisation was 5 days&#46; The disease-free survival at the mean survival time &#40;27&#46;5 months&#41; was of 75&#46;2&#37;&#46; One patient had a recurrence in the nephrectomy compartment and no patient had a peritoneal or trocar orifice recurrence&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Performing RARNU for the management of tumours of the upper urinary tract appears to meet the criteria of surgical safety and those of oncological safety&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Introduction"
          ]
          1 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "Methods"
          ]
          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Results"
          ]
          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclusion"
          ]
        ]
      ]
    ]
    "multimedia" => array:5 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1213
            "Ancho" => 1237
            "Tamanyo" => 63002
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Resultados oncol&#243;gicos tras nefroureterectom&#237;a radical asistida por robot para carcinoma urotelial del tracto superior &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&#41;&#46; Supervivencia libre de enfermedad &#40;SLE&#41; seg&#250;n Kaplan-Meier&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Tabla 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at1"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:3 [
          "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Valores expresados en mediana &#40;rango intercuart&#237;lico&#41; o n &#40;&#37;&#41;&#46;</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">IMC&#58; &#237;ndice de masa corporal&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sexo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Masculino&#58; 21 &#40;72&#44;4&#41;Femenino&#58; 8 &#40;27&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Edad &#40;a&#241;os&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">66 &#40;63-71&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Peso &#40;kg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">74 &#40;62-91&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Altura &#40;m&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;72 &#40;1&#44;65-1&#44;78&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">IMC &#40;kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&#44;8 &#40;23&#44;5-28&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">H&#225;bito tab&#225;quico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nunca&#58; 12 &#40;41&#44;4&#41;Exfumador&#58; 9 &#40;31&#41;Fumador&#58; 8 &#40;27&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Antecedentes de c&#225;ncer&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">No&#58; 17 &#40;58&#44;6&#41;S&#237;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&#58; 12 &#40;51&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Anticoagulantes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;6&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Antiagregantes plaquetarios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11 &#40;37&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Estado funcional&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">PS 0&#58; 11 &#40;37&#44;9&#41;PS 1&#58; 15 &#40;17&#44;2&#41;PS 2&#58; 8 &#40;27&#44;8&#41;PS 3&#58; 4 &#40;13&#44;8&#41;PS 4&#58; 1 &#40;3&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">S&#237;ntomas en el momento del diagn&#243;stico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Hematuria&#58; 20 &#40;69&#41;Dolor&#58; 6 &#40;20&#44;7&#41;Pielonefritis&#58; 1 &#40;3&#44;4&#41;Incidental&#58; 5 &#40;17&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Localizaci&#243;n del tumor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Pelvis renal&#58; 12 &#40;41&#44;4&#41;C&#225;lices renales 8 &#40;27&#44;6&#41;Ur&#233;ter superior&#58; 4 &#40;13&#44;8&#41;Ur&#233;ter medio&#58; 3 &#40;13&#44;3&#41;Ur&#233;ter inferior&#58; 2 &#40;6&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Lateralidad del tumor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Derecha&#58; 15 &#40;51&#44;7&#41;Izquierda&#58; 14 &#40;48&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ureterorrenoscopia preoperatoria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11 &#40;37&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Estado ganglionar en TC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N0&#58; 23 &#40;79&#44;3&#41;N1&#58; 2 &#40;6&#44;9&#41;N2&#58; 4 &#40;13&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Quimioterapia neoadyuvante&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cirug&#237;a ablativa previa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3258829.png"
              ]
            ]
          ]
          "notaPie" => array:1 [
            0 => array:3 [
              "identificador" => "tblfn0005"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">C&#225;ncer vesical no m&#250;sculo invasivo &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#41;&#59; c&#225;ncer colorrectal &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#59; c&#225;ncer de pr&#243;stata &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#41;&#59; c&#225;ncer de mama &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#41;&#59; c&#225;ncer de laringe &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#41;&#59; c&#225;ncer de pulm&#243;n &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#41;&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Caracter&#237;sticas preoperatorias del paciente y del tumor</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "tbl0010"
        "etiqueta" => "Tabla 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at2"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Valores expresados en n &#40;&#37;&#41; y mediana &#40;rango intercuart&#237;lico&#41;&#46; Los acontecimientos adversos se clasificaron seg&#250;n el sistema Clavien-Dindo&#46;</p>"
          "tablatextoimagen" => array:3 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Resultados intraoperatorios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Modelo robot&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Da Vinci Si&#174;&#58; 8 &#40;27&#44;6&#41;Da Vinci Xi&#174;&#58; 21 &#40;72&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Tiempo operatorio &#40;min&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">195 &#40;151-222&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Reacoplamiento&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">S&#237;&#58; 6 &#40;20&#44;7&#41; &#40;Da Vinci Si&#174;&#58; 3&#47;Da Vinci Xi&#174;&#58; 3&#41;No&#58; 23 &#40;79&#44;3&#41; &#40;Da Vinci Si&#174;&#58; 5&#47;Da Vinci Xi&#174;&#58; 18&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Disecci&#243;n de los ganglios linf&#225;ticos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">S&#237;&#58; 22No&#58; 7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Volumen de sangrado &#40;mL&#41; &#40;m&#237;n-m&#225;x&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50 &#40;50-1&#46;000&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3258826.png"
              ]
            ]
            1 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Resultados postoperatorios tempranos &#40;&#60;<span class="elsevierStyleHsp" style=""></span>30 d&#237;as&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Complicaciones postoperatorias&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9 &#40;31&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Grado de la complicaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">I&#58; 1 &#40;11&#44;1&#41;&#40;Dolor postoperatorio&#41;II&#58; 5 &#40;55&#44;6&#41;&#40;Infecci&#243;n urinaria&#58; 2&#59; infecci&#243;n pared vesical&#58; 1&#59; hematoma con transfusi&#243;n&#58; 1&#59; embolia pulmonar&#58; 1&#41;III&#58; 2 &#40;22&#44;2&#41;&#40;F&#237;stula vesicovaginal&#58; 1&#59; hematuria con revisi&#243;n quir&#250;rgica&#58; 1&#41;IV&#58; 1 &#40;11&#44;1&#41;&#40;F&#237;stula urinaria con sepsis que requiere revisi&#243;n quir&#250;rgica&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Duraci&#243;n estancia hospitalaria &#40;d&#237;as&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;4-7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Transfusi&#243;n sangu&#237;nea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;6&#44;9&#41; &#40;2 y 5 unidades&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3258830.png"
              ]
            ]
            2 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Resulados postoperatorios tard&#237;os &#40;&#62;<span class="elsevierStyleHsp" style=""></span>30 d&#237;as&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Complicaciones postoperatorias&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;6&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Grado de la complicaci&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">III&#58; 2 &#40;100&#41;Ascitis quilosa que requiere drenaje percut&#225;neoEventraci&#243;n de la pared abdominal que requiere reparaci&#243;n quir&#250;rgica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3258825.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Evaluaci&#243;n de la nefroureterectom&#237;a radical asistida por robot para el carcinoma urotelial del tracto superior&#58; resultados intraoperatorios y postoperatorios tempranos y tard&#237;os</p>"
        ]
      ]
      3 => array:8 [
        "identificador" => "tbl0015"
        "etiqueta" => "Tabla 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at3"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Valores expresados en mediana &#40;rango intercuart&#237;lico&#41; o n &#40;&#37;&#41;&#46; Los acontecimientos adversos se clasificaron seg&#250;n el sistema Clavien-Dindo&#46;</p><p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">IC 95&#37;&#58; intervalo de confianza del 95&#37;&#46;</p>"
          "tablatextoimagen" => array:2 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Resultados histol&#243;gicos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Tipo histol&#243;gico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Carcinoma urotelial&#58; 27 &#40;93&#44;1&#41;Carcinoma papilar urotelial&#58; 1 &#40;3&#44;4&#41;Adenocarcinoma enteroide&#58; 1 &#40;3&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Di&#225;metro tumor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">36 &#40;25-45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Tumor multifocal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9 &#40;31&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Grado tumor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Bajo&#58; 3 &#40;10&#44;7&#41;Alto&#58; 25 &#40;89&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Estadio T&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ta&#58; 7 &#40;25&#41;T1&#58; 5 &#40;17&#44;9&#41;T2&#58; 2 &#40;7&#44;1&#41;T3&#58; 11 &#40;39&#44;3&#41;T4&#58; 3 &#40;10&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Estadio N&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N0&#58; 14 &#40;48&#44;3&#41;N1&#58; 3 &#40;10&#44;3&#41;N2&#58; 5 &#40;17&#44;2&#41;Nx&#58; 7 &#40;24&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">N&#250;mero de ganglios extirpados&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12 &#40;4-24&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Estadio R&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">R0&#58; 26 &#40;89&#44;7&#41;R1&#58; 3 &#40;10&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Invasi&#243;n linfovascular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;27&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3258831.png"
              ]
            ]
            1 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Resultados oncol&#243;gicos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Seguimiento &#40;meses&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20 &#40;6-40&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Quimioterapia adyuvante&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;18&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Supervivencia libre de enfermedad estimada a un a&#241;o &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">85&#44;9&#37; &#40;IC 95&#37; 66&#44;6-94&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Supervivencia libre de enfermedad estimada en la mediana de seguimiento &#40;20 meses&#41; &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">75&#44;2&#37; &#40;IC 95&#37; 51&#44;9-88&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sitio de la recurrencia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ipsilateral&#58; 1&#59; vesical&#58; 2&#59; visceral&#58; 4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Supervivencia global estimada en la mediana de seguimiento &#40;20 meses&#41; &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">90&#44;6&#37; &#40;IC 95&#37; 66&#44;5-97&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3258828.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Evaluaci&#243;n de la nefroureterectom&#237;a radical asistida por robot para el carcinoma urotelial del tracto superior&#58; resultados histol&#243;gicos y oncol&#243;gicos &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>29&#41;</p>"
        ]
      ]
      4 => array:8 [
        "identificador" => "tbl0020"
        "etiqueta" => "Tabla 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at4"
            "detalle" => "Tabla "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">ND&#58; no disponible&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Referencia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Casos &#40;n&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Plataforma rob&#243;tica &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Complicaciones postoperatorias tempranas &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">pT &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">pN &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Quimioterapia sist&#233;mica &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Seguimiento medio &#40;meses&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Supervivencia libre de enfermedad a 2 a&#241;os &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Supervivencia global a 2 a&#241;os &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Mesnard et al&#46;&#44; 2022&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Da Vinci Si&#174;&#58; 27&#44;6Da Vinci Xi&#174;&#58; 72&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31Clavien-Dindo I-II&#58; 66&#44;7Clavien-Dindo III-IV&#58; 33&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pTa&#58; 25pT1&#58; 17&#44;9pT2&#58; 7&#44;1pT3&#58; 39&#44;3pT4&#58; 10&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pN0&#58; 48&#44;3pN1&#58; 10&#44;3pN2&#58; 17&#44;2Nx&#58; 24&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Neoadyuvante&#58; 0Adyuvante&#58; 17&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">75&#44;2Recurrencia local&#58; 14&#44;3Recurrencia vesical&#58; 28&#44;6Met&#225;stasis visceral&#58; 57&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">90&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Zeuschner et al&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">9</span></a>&#44;2021&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&#44;9Clavien-Dindo I-II&#58; 62&#44;8Clavien-Dindo III-IV&#58; 36&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pTa-pT1&#58; 34&#44;8PT2&#58; 12&#44;1pT3&#58; 51&#44;5pT4&#58; 1&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pN0&#58; 13&#44;6pN1&#58; 1&#44;5pN2&#58; 3Nx&#58; 81&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">60ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">73&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ye et al&#46;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">26</span></a>&#44; 2020&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Da Vinci Si&#174;&#58; 100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pTa&#58; 17&#44;2pT1&#58; 24&#44;1pT2&#58; 37&#44;9pT3&#58; 20&#44;8pT4&#58; 0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">67&#44;4 a 5 a&#241;os&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">De Groote et al&#46;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">16</span></a>&#44; 2019&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">78&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Da Vinci Si&#174;&#58; 88&#44;5Da Vinci Xi&#174;&#58; 11&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&#44;4Clavien-Dindo I-II&#58; 89&#44;3Clavien-Dindo III-IV&#58; 10&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pTa&#58; 29&#44;5pT1&#58; 21pT2&#58; 16&#44;7pT3&#58; 24&#44;4pT4&#58; 5&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pN0&#58; 28&#44;2pN1&#58; 7&#44;7pN2&#58; 3&#44;8Nx&#58; 59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Neoadyuvante&#58; 1&#44;3Adyuvante&#58; 1&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">63Recurrencia local&#58; 13&#44;6Recurrencia vesical&#58; 54&#44;5Met&#225;stasis visceral&#58; 45&#44;45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">79&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Campi et al&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">8</span></a>&#44; 2019&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43&#44;9Clavien-Dindo I-II&#58; 86&#44;2Clavien-Dindo III-IV&#58; 13&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pTa&#58; 0pT1&#58; 33&#44;3pT2&#58; 22&#44;7pT3&#58; 39&#44;5pT4&#58; 4&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pN0&#58; 15&#44;2pN1&#58; 3pN2&#58; 9&#44;1Nx&#58; 72&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Neoadyuvante&#58; 3Adyuvante&#58; 9&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">68&#44;3Recurrencia local&#58; 0Recurrencia vesical&#58; 76&#44;3Met&#225;stasis visceral&#58; 23&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">94&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Melquist et al&#46;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">27</span></a>&#44; 2016&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">37&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Da Vinci Si&#174;&#58; 100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14Clavien-Dindo I-II&#58; 20Clavien-Dindo III-IV&#58; 80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pT0&#58; 14pTis&#58; 5pTa&#58; 24pT1&#58; 32pT2&#58; 5pT3-4&#58; 28&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Neoadyuvante&#58; 51Adyuvante&#58; 9&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NDRecurrencia vesical&#58; 24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Aboumohamed et al&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">22</span></a>&#44; 2015&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;7Clavien-Dindo I-II&#58; 75Clavien-Dindo III-IV&#58; 25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pTa&#58; 25pT1&#58; 21&#44;7pT2&#58; 18&#44;3pT3&#58; 28&#44;3pT4&#58; 6&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pN0&#58; 41&#44;6pN1-2&#58; 11&#44;6Nx&#58; 53&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Neoadyuvante&#58; 0Adyuvante&#58; 11&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">65&#44;3Recurrencia local&#58; 21&#44;7Recurrencia vesical&#58; 71Met&#225;stasis visceral&#58; 34&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">86&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Hu et al&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">28</span></a>&#44; 2015&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pTa&#58; 16&#44;7pT1&#58; 27&#44;8pT2&#58; 33&#44;3pT3&#58; 22&#44;2pT4&#58; 0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pN0&#58; 94&#44;4pN1&#58; 5&#44;56pN2&#58; 0Nx&#58; 0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">66&#44;7 en seguimiento medioRecurrencia local&#58; 0Recurrencia vesical&#58; 33&#44;3Met&#225;stasis visceral&#58; 66&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">89&#44;9 en el seguimiento medio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ambani et al&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">29</span></a>&#44; 2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32Clavien-Dindo I-II&#58; 85&#44;7Clavien-Dindo III-IV&#58; 14&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pT0&#58; 5pTis&#58; 5pTa&#58; 27pT&#58; 18pT2&#58; 9pT3&#58; 36pT4&#58; 0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pN0&#58; 50pN1&#58; 0pN2&#58; 9Nx&#58; 41&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Neoadyuvante&#58; 3Adyuvante&#58; ND&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">52 en el seguimiento medioRecurrencia local&#58; NDRecurrencia vesical&#58; 72&#44;7Met&#225;stasis visceral&#58; 63&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">82 en el seguimiento medio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Lim et al&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">20</span></a>&#44; 2013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Da Vinci Si&#174;&#58; 100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28&#44;1Clavien-Dindo I-II&#58; 71&#44;4Clavien-Dindo III-IV&#58; 28&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">pTa&#58; 12&#44;5pT1&#58; 28&#44;1pT2&#58; 18&#44;8pT3&#58; 40&#44;6pT4&#58; 0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">NDNx&#58; 34&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Neoadyuvante&#58; 0Adyuvante&#58; 96&#44;25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">68Recurrencia local&#58; 16&#44;7Recurrencia vesical&#58; 41&#44;7Met&#225;stasis visceral&#58; 41&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">81&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3258827.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "es" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Revisi&#243;n bibliogr&#225;fica</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:29 [
            0 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "European Association of Urology guidelines on upper urinary tract urothelial cell carcinoma&#58; 2015 update"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Roupr&#234;t"
                            1 => "M&#46; Babjuk"
                            2 => "E&#46; Comp&#233;rat"
                            3 => "R&#46; Zigeuner"
                            4 => "R&#46;J&#46; Sylvester"
                            5 => "M&#46; Burger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.eururo.2015.06.044"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Urol&#46;"
                        "fecha" => "2015"
                        "volumen" => "68"
                        "paginaInicial" => "868"
                        "paginaFinal" => "879"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26188393"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outcomes of radical nephroureterectomy&#58; A series from the Upper Tract Urothelial Carcinoma Collaboration"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "Upper Tract Urothelial Carcinoma CollaborationThe Upper Tract Urothelial Carcinoma Collaboration"
                          "etal" => true
                          "autores" => array:6 [
                            0 => "V&#46; Margulis"
                            1 => "S&#46;F&#46; Shariat"
                            2 => "S&#46;F&#46; Matin"
                            3 => "A&#46;M&#46; Kamat"
                            4 => "R&#46; Zigeuner"
                            5 => "E&#46; Kikuchi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/cncr.24135"
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer&#46;"
                        "fecha" => "2009"
                        "volumen" => "115"
                        "paginaInicial" => "1224"
                        "paginaFinal" => "1233"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19156917"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0160"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prognostic factors&#44; recurrence&#44; and survival in transitional cell carcinoma of the upper urinary tract&#58; A 30-year experience in 252 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46;C&#46; Hall"
                            1 => "S&#46; Womack"
                            2 => "A&#46;I&#46; Sagalowsky"
                            3 => "T&#46; Carmody"
                            4 => "M&#46;D&#46; Erickstad"
                            5 => "C&#46;G&#46; Roehrborn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/s0090-4295(98)00295-7"
                      "Revista" => array:6 [
                        "tituloSerie" => "Urology&#46;"
                        "fecha" => "1998"
                        "volumen" => "52"
                        "paginaInicial" => "594"
                        "paginaFinal" => "601"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9763077"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0165"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of distal ureter management on oncologic outcomes following radical nephroureterectomy for upper tract urothelial carcinoma"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "Upper Tract Urothelial Carcinoma Collaboration"
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E&#46; Xylinas"
                            1 => "M&#46; Rink"
                            2 => "E&#46;K&#46; Cha"
                            3 => "T&#46; Clozel"
                            4 => "R&#46;K&#46; Lee"
                            5 => "H&#46; Fajkovic"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.eururo.2012.04.052"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Urol&#46;"
                        "fecha" => "2014"
                        "volumen" => "65"
                        "paginaInicial" => "210"
                        "paginaFinal" => "217"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22579047"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0170"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Laparoscopic versus open nephroureterectomy&#58; Perioperative and oncologic outcomes from a randomised prospective study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Simone"
                            1 => "R&#46; Papalia"
                            2 => "S&#46; Guaglianone"
                            3 => "M&#46; Ferriero"
                            4 => "C&#46; Leonardo"
                            5 => "E&#46; Forastiere"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.eururo.2009.06.013"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Urol&#46;"
                        "fecha" => "2009"
                        "volumen" => "56"
                        "paginaInicial" => "520"
                        "paginaFinal" => "526"
                        "itemHostRev" => array:3 [
                          "pii" => "S0007091220308230"
                          "estado" => "S300"
                          "issn" => "00070912"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0175"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Robot-assisted laparoscopic nephroureterectomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;K&#46; Nanigian"
                            1 => "W&#46; Smith"
                            2 => "L&#46;M&#46; Ellison"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1089/end.2006.20.463"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Endourol&#46;"
                        "fecha" => "2006"
                        "volumen" => "20"
                        "paginaInicial" => "463"
                        "paginaFinal" => "465"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16859455"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0180"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Does transition from the da Vinci Si to Xi robotic platform impact single-docking technique for robot-assisted laparoscopic nephroureterectomy&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;N&#46; Patel"
                            1 => "A&#46; Aboumohamed"
                            2 => "A&#46; Hemal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "BJU Int&#46;"
                        "fecha" => "2015"
                        "volumen" => "116"
                        "paginaInicial" => "990"
                        "paginaFinal" => "994"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0185"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Robotic radical nephroureterectomy and segmental ureterectomy for upper tract urothelial carcinoma&#58; A multi-institutional experience"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R&#46; Campi"
                            1 => "J&#46; Cotte"
                            2 => "F&#46; Sessa"
                            3 => "T&#46; Seisen"
                            4 => "R&#46; Tellini"
                            5 => "D&#46; Amparore"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00345-019-02790-y"
                      "Revista" => array:6 [
                        "tituloSerie" => "World J Urol&#46;"
                        "fecha" => "2019"
                        "volumen" => "37"
                        "paginaInicial" => "2303"
                        "paginaFinal" => "2311"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31062121"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0190"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Robot-assisted versus open radical nephroureterectomy for urothelial carcinoma of the upper urinary tract&#58; A retrospective cohort study across ten years"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Zeuschner"
                            1 => "S&#46;G&#46; Vollmer"
                            2 => "J&#46; Linxweiler"
                            3 => "G&#46; Wagenpfeil"
                            4 => "S&#46; Wagenpfeil"
                            5 => "M&#46; Saar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.suronc.2021.101607"
                      "Revista" => array:5 [
                        "tituloSerie" => "Surg Oncol&#46;"
                        "fecha" => "2021"
                        "volumen" => "38"
                        "paginaInicial" => "101607"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34022505"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0195"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Updates in the eighth edition of the Tumor-Node-Metastasis staging classification for urologic cancers"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "G&#46;P&#46; Paner"
                            1 => "W&#46;M&#46; Stadler"
                            2 => "D&#46;E&#46; Hansel"
                            3 => "R&#46; Montironi"
                            4 => "D&#46;W&#46; Lin"
                            5 => "M&#46;B&#46; Amin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur Urol&#46;"
                        "fecha" => "2018"
                        "volumen" => "73"
                        "paginaInicial" => "560"
                        "paginaFinal" => "569"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0200"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comparison between 1973 and 2004&#47;2016 World Health Organization grading in upper tract urothelial carcinoma treated with radical nephroureterectomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46; Coll&#224; Ruvolo"
                            1 => "C&#46; W&#252;rnschimmel"
                            2 => "M&#46; Wenzel"
                            3 => "L&#46; Nocera"
                            4 => "G&#46; Celentano"
                            5 => "F&#46; Mangiapia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s10147-021-01941-9"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Clin Oncol&#46;"
                        "fecha" => "2021"
                        "volumen" => "26"
                        "paginaInicial" => "1707"
                        "paginaFinal" => "1713"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34091795"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0205"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Recommandations en onco-urologie 2013 du CCAFU&#58; Tumeurs de la voie excr&#233;trice urinaire sup&#233;rieure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46; Pfister"
                            1 => "M&#46; Roupret"
                            2 => "Y&#46; Neuzillet"
                            3 => "S&#46; Larr&#233;"
                            4 => "G&#46; Pignot"
                            5 => "H&#46; Quintens"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S1166-7087(13)70050-2"
                      "Revista" => array:6 [
                        "tituloSerie" => "Prog Urol&#46;"
                        "fecha" => "2013"
                        "volumen" => "23"
                        "paginaInicial" => "S126"
                        "paginaFinal" => "S132"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24485287"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0210"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The Clavien-Dindo classification of surgical complications&#58; Five-year experience"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46;A&#46; Clavien"
                            1 => "J&#46; Barkun"
                            2 => "M&#46;L&#46; de Oliveira"
                            3 => "J&#46;N&#46; Vauthey"
                            4 => "D&#46; Dindo"
                            5 => "R&#46;D&#46; Schulick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/SLA.0b013e3181b13ca2"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Surg&#46;"
                        "fecha" => "2009"
                        "volumen" => "250"
                        "paginaInicial" => "187"
                        "paginaFinal" => "196"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19638912"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0215"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Techniques and outcomes of robot-assisted nephro-ureterectomy for upper tracturothelial carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;A&#46; Pathak"
                            1 => "A&#46;K&#46; Hemal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.euf.2018.08.007"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Urol Focus&#46;"
                        "fecha" => "2018"
                        "volumen" => "4"
                        "paginaInicial" => "657"
                        "paginaFinal" => "661"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30146238"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0220"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Perioperative outcomes of robot-assisted nephroureterectomy for upper urinary tract urothelial carcinoma&#58; A multi-institutional series"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46; Pugh"
                            1 => "S&#46; Parekattil"
                            2 => "D&#46; Willis"
                            3 => "M&#46; Stifelman"
                            4 => "A&#46; Hemal"
                            5 => "L&#46;M&#46; Su"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/bju.12163"
                      "Revista" => array:6 [
                        "tituloSerie" => "BJU Int&#46;"
                        "fecha" => "2013"
                        "volumen" => "112"
                        "paginaInicial" => "E295"
                        "paginaFinal" => "E300"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23879914"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0225"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Robot-assisted nephroureterectomy for upper tract urothelial carcinoma&#58; Results from three high-volume robotic surgery institutions"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "YAU Robotic and Urothelial Group"
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R&#46; De Groote"
                            1 => "K&#46; Decaestecker"
                            2 => "A&#46; Larcher"
                            3 => "S&#46; Buelens"
                            4 => "E&#46; De Bleser"
                            5 => "F&#46; D&#8217;Hondt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s11701-019-00965-8"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Robot Surg&#46;"
                        "fecha" => "2020"
                        "volumen" => "14"
                        "paginaInicial" => "211"
                        "paginaFinal" => "219"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0230"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Robotic nephroureterectomy&#58; A simplified approach requiring no patient repositioning or robot redocking"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "H&#46; Zargar"
                            1 => "J&#46; Krishnan"
                            2 => "R&#46; Autorino"
                            3 => "O&#46; Akca"
                            4 => "L&#46;F&#46; Brandao"
                            5 => "H&#46; Laydner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.eururo.2014.02.060"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Urol&#46;"
                        "fecha" => "2014"
                        "volumen" => "66"
                        "paginaInicial" => "769"
                        "paginaFinal" => "777"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24661639"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0235"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Oncological risk of laparoscopic surgery in urothelial carcinomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Roupr&#234;t"
                            1 => "G&#46; Smyth"
                            2 => "J&#46; Irani"
                            3 => "L&#46; Guy"
                            4 => "J&#46;L&#46; Davin"
                            5 => "F&#46; Saint"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00345-008-0349-x"
                      "Revista" => array:7 [
                        "tituloSerie" => "World J Urol"
                        "fecha" => "2009"
                        "volumen" => "27"
                        "paginaInicial" => "81"
                        "paginaFinal" => "88"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19020880"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0007091221000313"
                          "estado" => "S300"
                          "issn" => "00070912"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0240"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Trocar site recurrence after laparoscopic nephroureterectomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;M&#46; Ong"
                            1 => "S&#46;B&#46; Bhayani"
                            2 => "C&#46;P&#46; Pavlovich"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.ju.0000084660.73614.da"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Urol&#46;"
                        "fecha" => "2003"
                        "volumen" => "170"
                        "numero" => "4 Pt 1"
                        "paginaInicial" => "1301"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14501747"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0245"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intermediate-term outcomes of robot-assisted laparoscopic nephroureterectomy in upper urinary tract urothelial carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;K&#46; Lim"
                            1 => "T&#46;Y&#46; Shin"
                            2 => "K&#46;H&#46; Kim"
                            3 => "B&#46;H&#46; Chung"
                            4 => "S&#46;J&#46; Hong"
                            5 => "Y&#46;D&#46; Choi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.clgc.2013.04.027"
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Genitourin Cancer&#46;"
                        "fecha" => "2013"
                        "volumen" => "11"
                        "paginaInicial" => "515"
                        "paginaFinal" => "521"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23810441"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0300289609001021"
                          "estado" => "S300"
                          "issn" => "03002896"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0250"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Laparoscopic vs robotic nephroureterectomy&#58; Is it time to re-establish the standard&#63; Evidence from a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Stonier"
                            1 => "N&#46; Simson"
                            2 => "S&#46;M&#46; Lee"
                            3 => "I&#46; Robertson"
                            4 => "T&#46; Amer"
                            5 => "B&#46;K&#46; Somani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.aju.2017.05.002"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arab J Urol&#46;"
                        "fecha" => "2017"
                        "volumen" => "15"
                        "paginaInicial" => "177"
                        "paginaFinal" => "186"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29071149"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0255"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Oncologic outcomes following robot-assisted laparoscopic nephroureterectomy with bladder cuff excision for upper tract urothelial carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;A&#46; Aboumohamed"
                            1 => "L&#46;S&#46; Krane"
                            2 => "A&#46;K&#46; Hemal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.juro.2015.07.081"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Urol&#46;"
                        "fecha" => "2015"
                        "volumen" => "194"
                        "paginaInicial" => "1561"
                        "paginaFinal" => "1566"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26192256"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0260"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "R&#233;sultats carcinologiques de la n&#233;phro-uret&#233;rectomie totale comparent les voies d&#8217;abord laparoscopique et chirurgicale ouverte"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "B&#46; M&#252;ller"
                            1 => "G&#46; Braud"
                            2 => "X&#46; Tillou"
                            3 => "G&#46; Karam"
                            4 => "O&#46; Bouchot"
                            5 => "J&#46; Rigaud"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Prog Urol&#46;"
                        "fecha" => "2007"
                        "volumen" => "17"
                        "paginaInicial" => "1328"
                        "paginaFinal" => "1332"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0265"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Disease-free survival as a surrogate for overall survival in upper tract urothelial carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "H&#46; Fajkovic"
                            1 => "E&#46;K&#46; Cha"
                            2 => "E&#46; Xylinas"
                            3 => "M&#46; Rink"
                            4 => "A&#46; Pycha"
                            5 => "C&#46; Seitz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00345-012-0939-5"
                      "Revista" => array:6 [
                        "tituloSerie" => "World J Urol&#46;"
                        "fecha" => "2013"
                        "volumen" => "31"
                        "paginaInicial" => "5"
                        "paginaFinal" => "11"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23011256"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0270"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Platinum-based neoadjuvant chemotherapy improves oncological outcomes in patients with locally advanced upper tract urothelial carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Hosogoe"
                            1 => "S&#46; Hatakeyama"
                            2 => "A&#46; Kusaka"
                            3 => "I&#46; Hamano"
                            4 => "H&#46; Iwamura"
                            5 => "N&#46; Fujita"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.euf.2017.03.013"
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur Urol Focus&#46;"
                        "fecha" => "2018"
                        "volumen" => "4"
                        "paginaInicial" => "946"
                        "paginaFinal" => "953"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0275"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Single-docking robotic-assisted nephroureterectomy and extravesical bladder cuff excision without intraoperative repositioning&#58; The technique and oncological outcomes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "H&#46; Ye"
                            1 => "X&#46; Feng"
                            2 => "Y&#46; Wang"
                            3 => "R&#46; Chen"
                            4 => "C&#46; Zhang"
                            5 => "W&#46; Zhang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.asjsur.2019.11.009"
                      "Revista" => array:6 [
                        "tituloSerie" => "Asian J Surg&#46;"
                        "fecha" => "2020"
                        "volumen" => "43"
                        "paginaInicial" => "978"
                        "paginaFinal" => "985"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31941594"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0280"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comparison of single-docking robotic-assisted and traditional laparoscopy for retroperitoneal lymph node dissection during nephroureterectomy with bladder cuff excision for upper-tract urothelial carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;J&#46; Melquist"
                            1 => "G&#46; Redrow"
                            2 => "S&#46; Delacroix"
                            3 => "A&#46; Park"
                            4 => "E&#46;E&#46; Faria"
                            5 => "J&#46;A&#46; Karam"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.urology.2015.07.070.28"
                      "Revista" => array:6 [
                        "tituloSerie" => "Urology&#46;"
                        "fecha" => "2016"
                        "volumen" => "87"
                        "paginaInicial" => "216"
                        "paginaFinal" => "223"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26494291"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0285"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Robot-assisted laparoscopic nephroureterectomy versus hand-assisted laparoscopic nephroureterectomy for upper urinary tract urothelial carcinoma&#58; A matched comparison study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;Y&#46; Hu"
                            1 => "C&#46;K&#46; Yang"
                            2 => "C&#46;Y&#46; Huang"
                            3 => "Y&#46;C&#46; Ou"
                            4 => "S&#46;F&#46; Hung"
                            5 => "S&#46;D&#46; Chung"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1155/2015/918486"
                      "Revista" => array:5 [
                        "tituloSerie" => "Biomed Res Int&#46;"
                        "fecha" => "2015"
                        "volumen" => "2015"
                        "paginaInicial" => "918486"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26539538"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0290"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Matched comparison of robotic vs laparoscopic nephroureterectomy&#58; An initial experience"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46;N&#46; Ambani"
                            1 => "A&#46;Z&#46; Weizer"
                            2 => "J&#46;S&#46; Wolf Jr&#46;"
                            3 => "C&#46; He"
                            4 => "D&#46;C&#46; Miller"
                            5 => "J&#46;S&#46; Montgomery"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Urology&#46;"
                        "fecha" => "2014"
                        "volumen" => "83"
                        "paginaInicial" => "345"
                        "paginaFinal" => "349"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02104806/0000004700000007/v1_202309041826/S0210480623000475/v1_202309041826/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6277"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Art&#237;culos originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02104806/0000004700000007/v1_202309041826/S0210480623000475/v1_202309041826/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480623000475?idApp=UINPBA00004N"
]
Información del artículo
ISSN: 02104806
Idioma original: Español
DOI:10.1016/j.acuro.2023.02.003
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Febrero 1 0 1
2024 Enero 0 3 3
2023 Noviembre 1 0 1
2023 Octubre 1 3 4
2023 Septiembre 14 3 17
2023 Mayo 1 2 3
2023 Marzo 0 2 2

Siga este enlace para acceder al texto completo del artículo

Suscríbase a la newsletter

Publique en
Actas Urológicas Españolas
Actas Urológicas Españolas se adhiere a los principios y procedimientos dictados por el Committee on Publication Ethics (COPE)
www.publicationethics.org.
Artículos de acceso gratuito
Vías Clínicas Para El Cuidado Oral En Pacientes...
10.1016/j.acuro.2024.10.004
Recomendaciones de tratamiento en el cáncer de...
Actas Urol Esp. 2024;48:623-31
Impact of COVID-19 outbreak on urology surgical waiting...
Actas Urol Esp. 2021;45:207-14
Revis@r del mes

Dra. Alba María García-Cano Fernández , revisor del mes de Noviembre 2024

Leer más ...

 

es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos