Abstract:
INTRODUCTION AND OBJECTIVES:Renal Cell Carcinoma (RCC) represents 3% of all neoplasm. The growing incidental diagnosis of small renal tumor has allowed the application of nephron sparing surgery (NSS), even in those cases with a normal contralateral kidney. We present the results of NSS at our center in the last decade. MATERIAL AND METHODS:A retrospective analysis of all NSS that were made at our center in cases of renal masses. Difference is made between elective surgery (tumors less than 4 cm with a normal contralateral kidney) and obligatory surgery (all other cases). RESULTS:From 1990 since 2000 a total of 65 NSS were made from a total of 436 surgeries for renal tumors (14.9%). In 22 patients NSS was obligatory, while in 43 was elective. Mean (SD) age was 59.1 years (+/- 11.7), mean tumor size 3.4 cm (+/- 1.4), mean hospital staying was 9.2 days (+/- 7). Renal normothermic ischaemia was use during surgery in all cases, with a mean ischaemic time of 25.7 min. Nine tumors (13.8%) were benign. Morbidity: 10.8%. Mortality: 1.5%. The cancer specific survival at 36 months of follow-up (mean 37.4) is 98.4% and global survival is 90.3%. CONCLUSIONS:Nephron Sparing Surgery is a valid alternative in the treatment of RCC, specially for tumors less than 4 cm in diameter and having a normal contralateral kidney; NSS is also an effective technique for patients bearing renal tumors in a solitary kidney.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
López-Costea MA,González-Satué C,Franco Miranda E,Arbeláez Arango S,Riera Canals L,Prats de Puig JM,Serrallach Mila Ndoi
10.1016/s0210-4806(01)72656-3subject
Has Abstractpub_date
2001-07-01 00:00:00pages
482-8issue
7eissn
0210-4806issn
1699-7980pii
S0210-4806(01)72656-3journal_volume
25pub_type
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:
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abstract:INTRODUCTION:To know the incidence and clinical and pathologic characteristics of the paratesticular leiomyosarcoma (LMS) with the contribution of a case of long evolution, studying the histopathologic criteria that must be valued for this type of tumours. MATERIAL AND METHODS:A 73-year-old patient includes for study ...
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pub_type: 杂志文章,评审
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journal_title:Actas urologicas espanolas
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abstract::Ongoing changes in the social, economic, technological and scientific realms have generated new needs and led various organizations to suggest that educational institutions should reorient their educational strategies toward developing effective professionals with the skills to meet these needs. These "modern" strateg...
journal_title:Actas urologicas espanolas
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abstract:INTRODUCTION AND OBJECTIVE:Surgery is the treatment of choice for patients with Peyronie's disease presenting difficulty in penetration or erectile dysfunction without adequate response to therapy. Several techniques have been described, and urologists must be aware of their possible complications and sequelae in order...
journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:10.1016/s0210-4806(05)73263-0
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abstract::Ten cases of penoscrotal gangrene seen in our department over the last 8 years are presented. In 80% of patients causative factors of the gangrenous process were demonstrated and were equally distributed between urology and colorectal pathologies. The most commonly associated pathology was diabetes mellitus affecting ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::Female stress urinary incontinence is a highly prevalent disease with a broad range of surgical approaches with different percentages of success depending on the severity of the condition and the appropriateness of the technique in the indication. A few years ago, laparoscopy was introduced as another therapeutical po...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,随机对照试验
doi:10.1016/s0210-4806(08)73940-8
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1994-10-01 00:00:00
abstract::Twenty-nine male children with urethral stenosis, with ages between 7 months and 18 years, were treated by endoscopic surgery. The etiology of their condition was trauma in 21 cases and congenital in 8. Location of the stenosis corresponded in 18 cases to membranous urethra, 7 to bulbar urethra, 2 to penial urethra wh...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-07-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(07)73587-8
更新日期:2007-01-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(00)72526-5
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pub_type: 杂志文章,评审
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,多中心研究
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
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更新日期:1992-11-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:1987-09-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::The prevalence of urinary incontinence is around 20% of healthy middle-aged women. Incontinence causes a negative impact on the quality of life and sexuality. From August 2002 to January 2004, 30 patients (mean age 43 years) with stress urinary incontinence (59%), overactive bladder (15%) and mixed incontinence (26%) ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(06)73446-5
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/j.acuro.2012.03.006
更新日期:2013-03-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/j.acuro.2014.07.004
更新日期:2015-05-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(99)72367-3
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