[Renal transplantation with living donors. A critical analysis of surgical procedures based on 40 years of experience].

Abstract:

INTRODUCTION:Absolute priority in an LDKT programme are donnor safety and kidney optimal anatomical and functional preservation. Reduced donnor morbidities, both at short and long term, are important objectives. Excellent technical grafting is a must as are the strategies employed for facilitatig it. We revised the incidences of our whole LDKT programme (40 years 243 donors) to confirm if these exigences have been acomplished or a change to new surgical procedures is recommended. MATERIAL AND METHODS:Between 1968-2008 243 nephrectomies and grafting has been performed, a reduced number per year (A cadaver programme has been running simultaneously since 1964). For the nephrectomies a Turner-Warrick apprach was inititialy used and since 1973 a miniincisional, anterior, extraperitoneal approach of approximately 10 cm in length. The right kidney was removed in 75% of the cases and the right iliac area for the implant in 85% In adjacent opperating rooms, one team performs the nephrectomy while the other prepares and dissects free the grafting vessels. Most of the time the same senior surgeon performed both operatios: the nephrectomy and the implant. Peroperative and postoperative complications were evaluated by urologists and nephrologists in charge. RESULTS:No donors dead, organs lost or major complications in the donors have been documented. Minor complications such as intestinal paresia, wound infection, persistent incisional pain were common. Miniincisional abdominal approach reduced postoperative pain and hospital stay (4 days). At long term no incisional hernia or abdominal paresia have been documented. Simultaneous work reduces ischemia time (30-45 s warm: 30-45 min cold) and opperatig room occupation(patient preparation plus anesthesia plus operation) estimated in 90-120 min for the nephrectomy and 120-160 for the grafting. The responsibility of the senior surgeon in both procedures facilitates vessel selection for the grafting. CONCLUSIONS:No reasons have been found to reconvert our current nephrectomy procedure to laparoscopic or modify current surgical strategy. Superior safety of open surgery for donors and organs is confirmed. Pain and recovery time are reduced in laparoscopic surgery but not as much when compared with miniincisional approach. Open surgery permits optimal anatomical and functional organ extration facilitatig the quality of the implant. As numbers matter in laparoscopic surgery open nephrectomy is recommended for reduced LDKT programmes.

journal_name

Actas Urol Esp

authors

Vela Navarrete R,Rodríguez Miñón Cifuentes JL,Calahorra Fernández J,González Enguita C,Cabrera J,García Cardoso JV,Castillon Vela I,Plaza JJ

doi

10.1016/s0210-4806(08)73977-9

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

989-94

issue

10

eissn

0210-4806

issn

1699-7980

pii

S0210-4806(08)73977-9

journal_volume

32

pub_type

杂志文章
  • [Urothelial carcinoma in a woman with autosomal dominant polycystic kidney disease: description of a case and review of the literature].

    abstract::We describe a case of urothelial carcinoma of renal pelvis in a 48 years old woman affected of autosomal dominant polycystic kidney disease (ADPKD). We discuss the difficulty of the radiological diagnostic and we revise the incidence of renal tumors in this entity. Association between urothelial carcinoma and ADPKD is...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:10.1016/s0210-4806(07)73784-1

    authors: Arce Terroba Y,Martí T,Villavicencio Mavrich H,De la Torre P,Algaba F

    更新日期:2007-11-01 00:00:00

  • [Relational database for urinary stone ambulatory consultation. Assessment of initial outcomes].

    abstract:OBJECTIVES:To create a relational database for monitoring lithiasic patients. We describe the architectural details and the initial results of the statistical analysis. METHODS AND MATERIALS:Microsoft Access 2002 was used as template. Four different tables were constructed to gather demographic data (table 1), clinica...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:

    authors: Sáenz Medina J,Páez Borda A,Crespo Martinez L,Gómez Dos Santos V,Barrado C,Durán Poveda M

    更新日期:2010-05-01 00:00:00

  • [Cytogenetic characteristics and of primary culture in multiple renal tumors].

    abstract::The incidence of multiple tumours in renal cancer ranges between 1 and 30%. In these cases, it becomes very difficult to differentiate between adenoma and carcinoma just by using conventional methods, particularly in borderline cases. We carried out primary cultures and subsequent cytogenetic studies in 2 patients wit...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:

    authors: Featherston M,Chéchile G,Sanchotene E,Solé Balcells F,Algaba F,Santaularia JM,Bernuez M

    更新日期:1993-06-01 00:00:00

  • [In vitro study of the process of urinary calculi fragmentation with endoscopy, light microscopy, and scanning electron microscopy].

    abstract::Stones with different compositions respond differently to shock wave lithofragmentation. Likewise, the various lithotrity systems used may have different effects on the stones. To determine the relationships between stone composition and their fragmentation patterns, we conducted an in vitro study using endoscopy, mag...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:

    authors: Tellez Martínez-Fornes M,Burgos Revilla FJ,Soria Descalzo J,Barbero González J,Saez Garrido JC,Del Val Melus MA,Vallejo Herrador J

    更新日期:1997-07-01 00:00:00

  • [Effect of sacral roots block in the prostatic structure of the rat].

    abstract:OBJECTIVE:To validate a simplified model of neural manipulation of the lower urinary tract of the rat, by means of alcoholic blockade of sacral roots. MATERIAL AND METHODS:Twenty Sprague-Dawle rats (aged 3 months) underwent alcohol sacral root blockade under total anesthesia with previous needle placement monitoring (...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(00)72497-1

    authors: Luján Galán M,Páez Borda A,Llanes González L,Berenguer Sánchez A

    更新日期:2000-07-01 00:00:00

  • [Percutaneous treatment of a mycotic renal abscess, caused by Aspergillus fumigatus, in an AIDS patient].

    abstract::Presentation of one case of renal mycosis by Aspergillus as a primary complication in one patient diagnosed with acquired immunodeficiency syndrome. The importance of conservative treatment at all costs through percutaneous drainage is underlined, specially if we considered the short life expectancy of patients who ha...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:

    authors: Valle Gerhold J,Monzón Alebesque F,López López JA

    更新日期:1992-06-01 00:00:00

  • [Endoscopic cystolithotomy: hypogastric approach].

    abstract::Vesical lithiasis is a relatively frequent problem, the solution of which has changed over the last few years driven by major technological evolution. Traditional open surgery has been outstaged by the new endoscopic techniques and extracorporeal lithotrity. Here, we present our endoscopic resolution protocol through ...

    journal_title:Actas urologicas espanolas

    pub_type: 临床试验,杂志文章

    doi:

    authors: Azócar Hidalgo G,Van Cauwelaert Rojas R,Castillo Cádiz O,Aguirre Aguirre C,Wöhler Campos C

    更新日期:1995-07-01 00:00:00

  • [Penile adenoma: clinical case].

    abstract::Penile melanoma is a very uncommon neoplasm, being reported less than 60 cases. Event yet it outlines not few doubts about its diagnosis and treatment, and in advanced stages represents a challenge for the future since it prognosis is awful at short time. In the present article, its presented a glans melanoma diagnose...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:10.1016/s0210-4806(02)72749-6

    authors: Blanco Díez A,Montes Couceiro M,Alvarez Castelo L,Suárez Pascual G,Rodríguez Gómez I,Fernández Rosado E,González Martín M

    更新日期:2002-02-01 00:00:00

  • [Metastasis in the glans of prostatic adenocarcinoma. Apropos of a case].

    abstract::Case of an 83 year-old male with metastatic penis cancer located at the glans, secondary to moderately differentiated prostatic adenocarcinoma. There was early metastasis clinically expressed as several painful and ulcerous nodes at the glans corona and paraphimosis. The clinical rareness of metastasis in a porous bod...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:

    authors: Romero Pérez P,Amat Cecilia M,Andrada Becerra E

    更新日期:1991-05-01 00:00:00

  • [Management of hemorrhagic radiation cystitis with hyperbaric oxygen therapy].

    abstract:INTRODUCTION AND OBJECTIVES:hemorrhagic cystitis (HC) after pelvic radiotherapy occurs in 2-8% of patients. A variety of treatments have been described, most of them with uncertain results. We assessed the efficacy of hyperbaric oxygen therapy (HBOT) in HC cases. PATIENTS AND METHODS:retrospective analysis of patients...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/j.acuro.2010.09.006

    authors: Parra C,Gómez R,Marchetti P,Rubio G,Felmer A,Castillo OA

    更新日期:2011-03-01 00:00:00

  • [Renal transplantectomy].

    abstract::During the first ten years (1981-1990) of our organ transplantation program a total of 395 Renal Transplants (RTx) have been carried out in our Unit, 90 of which in 88 patients had to be subsequently transplantectomized. In 32 of them the reason was acute rejection (35%) including 7 renal rhexis, and in 30 chronic rej...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:

    authors: Rodríguez García J,García Buitron J,Chantada Abal V,García Freire C,Picallo Sánchez J,González Martín M,Alonso Hernández A

    更新日期:1992-01-01 00:00:00

  • Diagnosis and treatment of male patients with lower urinary tract symptoms in Spain - The MERCURY Study. Do urologists follow the recommendations of the European guidelines?

    abstract:OBJECTIVES:To explore the management of lower urinary tract symptoms (LUTS) in men in Spain and assess the compliance with recommendations established in the European Association of Urology (EAU) guidelines. MATERIAL AND METHODS:MERCURY was an epidemiological and cross-sectional study which involved 227 Urology Units ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/j.acuro.2017.12.003

    authors: Errando-Smet C,Müller-Arteaga C,Hernández M,Roset M

    更新日期:2018-06-01 00:00:00

  • [Clinico-flowmetric analysis of patients being surgically treated for BPH].

    abstract::Benign prostatic hypertrophy (BPH) is a common urological disease with a standard surgical approach, transurethral resection (TUR) or open adenectomy (OA), but the flowmetric clinical results are controversial. Fifty-five patients were evaluated; in 23 of them TUR was performed and 32 underwent OA. The Boyarsky clinic...

    journal_title:Actas urologicas espanolas

    pub_type: 临床试验,杂志文章,评审

    doi:

    authors: Domínguez Molinero JF,Palao Yago F,Fernández Rodríguez A,Arrabal Martín M,Martínez Torres JL,Zuluaga Gómez A

    更新日期:1994-07-01 00:00:00

  • [Laparoscopic extraperitoneal adenomectomy: surgical technique and preliminary results].

    abstract:OBJECTIVE:We analyze the laparascopic adenomectomy preliminary results and describe the surgical technique, for benign prostatic hyperplasia (BPH), for glands greater than 60cc. MATERIALS AND METHODS:From January to April 2009 we have performed 10 laparoscopic adenomectomies. We performed a descriptive and retrospecti...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:

    authors: Ramón de Fata Chillón F,Nuñez Mora C,García Mediero JM,Cabrera Castillo P,García Tello A,Angulo Cuesta J

    更新日期:2010-10-01 00:00:00

  • [Use of M-VAC in the adjuvant treatment of sarcomatoid carcinoma of the bladder].

    abstract::Sarcomatoid bladder carcinoma is a high-grade neoplasm and accounts for approximately 0,3% of all bladder malignancies. Sarcomatoid carcinoma originates from transitional cells of the bladder. Sarcomatoid carcinoma is charactericed by a epithelial component and a sarcomatoid component, consisting of spindle cells, tha...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(09)74175-0

    authors: García González J,Pérez Fentes D,Aliste Santos C,Suárez Peñaranda JM,León Mateos L,López López R

    更新日期:2009-04-01 00:00:00

  • [Quantitative determination of epidermal growth factor urothelial receptor (EGFR) in superficial and invasive bladder carcinoma].

    abstract::The epidermic growth factor (EGF) is a polypeptide which stimulates tissue proliferation. The mechanism of action takes place through an specific membrane receptor, known as the EGFR. Recent scientific contributions have allowed to know its implication in various tumoral processes (breast, ovary, bladder, etc), so tha...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:

    authors: Moreno Sierra J,Maestro de las Casas M,Ortega Heredia MD,Hermida Gutiérrez J,Resel Estevez L

    更新日期:1994-03-01 00:00:00

  • Antibiotic activity and concentrations in clinical samples from patients with chronic bacterial prostatitis.

    abstract:OBJECTIVES:Chronic bacterial prostatitis (CBP) is the most common urological disease in patients younger than 50 years, whose long-standing symptoms could be related to an inappropriate therapeutic regimen. The objective was to analyse the sensitivity of microorganisms isolated from patients with CBP and measure the we...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/j.acuro.2017.03.008

    authors: Heras-Cañas V,Gutiérrez-Soto B,Almonte-Fernández H,Lara-Oya A,Navarro-Marí JM,Garrido-Frenich A,Vázquez-Alonso F,Gutiérrez-Fernández J

    更新日期:2017-12-01 00:00:00

  • Angiogenesis inhibition impairs testicular morphology in experimental left varicocele rat model.

    abstract:INTRODUCTION:It has been reported that varicocele might promote angiogenesis. However, it is not clearly identified how angiogenesis affect testicular morphology or spermatogenic activity. The objective of the study is to investigate the effect of spironolactone, as an angiogenesis inhibitor, on the ipsilateral testis ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/j.acuro.2013.12.013

    authors: Gökhan-Köse M,Erdem ŞR,Peşkircioğlu ÇL,Çaylak B

    更新日期:2014-09-01 00:00:00

  • [Urodynamic study in the female urinary incontinence evaluation, with the new MoniTorr MR system (non-multichannel urodynamic with urethral retro-resistance pressure measure). Experience with 100 patients].

    abstract:OBJECTIVE:To compare the clinical diagnosis of the urinary incontinence with the results of LPP and URP obtained by non-multichannel urodynamic. To evaluate the tolerance of the patients to this examination. PATIENT AND METHOD:Between August and December 2006, 100 urodynamics were made in patients with clinical diagno...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(08)73838-5

    authors: Dalenz SV,Arriola RP,Schanz PJ

    更新日期:2008-03-01 00:00:00

  • [Dissolution of ammonium-magnesium phosphate lithiasis with medical systemic treatment. Report of a case].

    abstract::Presentation of one case of ammonium-magnesium phosphate calculi breakdown using systemic medical treatment with oral Acetohydroxamine acid dosed at 125 mg/8 h and antibiotic therapy based on the antibiogram results. This type of treatment is generally used in an attempt to eradicate the infection, and as prophylaxis ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:

    authors: Tinajas Saldaña A,Alfonso Sánchez M,Porto Sierra M,Lago Montero A,Tarroc Blanco A,Fradejas Rodríguez A,Hidalgo Peñin F

    更新日期:1999-04-01 00:00:00

  • [Report of 2 new cases of bladder inverted papilloma, one with them complicated with acute urinary obstruction].

    abstract::Inverted papilloma is a rare tumour (2.2% of urothelial tumours) considered to be benign. The bladder is the most frequent site and growth tends to be endophytic towards the submucosa. Haematuria and obstruction symptoms appear to be the most typical clinical manifestations. Contribution of two cases of inverted bladd...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:10.1016/s0210-4806(00)72474-0

    authors: Monge Mirallas JM,Asensio Lahoz A,Martínez Bretones F,Acinas García O

    更新日期:2000-05-01 00:00:00

  • [Primary lymphoma of the testicle].

    abstract::Case report of a testicular lymphoma. A diagnosis of primary neoplasia of the testis was made since no involvement to the lymphoreticular system in any other organ was demonstrated. We review the clinical, diagnostic and therapeutical aspects and make a note on the rarity of our case, a type T tumour, due to the excep...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:

    authors: Varo Solís C,Bachiller Burgos J,Soto Delgado M,Juarez Soto A,Torres Montaner A,González Moreno D,Castiñeiras Fernández J

    更新日期:1997-09-01 00:00:00

  • [Usefulness of PET in the diagnosis and response to treatment of extragonadal germinal tumor with atypical presentation].

    abstract::Primary tumors of extragonadal origin are rare, with fewer than 1000 cases described in the literature. Although the exact incidence of EGTs is unknown, clinical data suggest that roughly 3% to 5% of all germ cell tumors. We expose a case report of EGT with unusually clinic presentation. We present our diagnostic and ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:10.1016/s0210-4806(03)73025-3

    authors: Fernández Montero JM,Zudaire Bergera JJ,Rioja J,Regojo Balboa J,López Ferrandis J,Sánchez Zalabardo D,Rosell Costa D,Robles García JE,Berián Polo JM

    更新日期:2003-11-01 00:00:00

  • [Scrotal mass as result of the extension of a pancreatic pseudocyst].

    abstract::There are several causes for orchitis and among them there are inflammatory process. We want to communicate the case of a young man with a clinical history and physical examination compatible with orchitis produced by the extension of a pancreatic pseudocyst that was not suspected in the beginning and discovered by im...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(08)73824-5

    authors: Diego BR,Tubet AC,Baños GJ,García MB,Martín PJ,Guerrero ZS

    更新日期:2008-02-01 00:00:00

  • [Dehydroepiandrosterone (DHEA), review of its efficiency in the managing of the libido decrease and other symtoms of aging].

    abstract:INTRODUCTION:The DHEA widely used for the control of the symptoms associated with the aging, has been an object of numerous clinical essays with discordant results as for its efficiency. OBJECTIVES:The present review tries to analyze the existing information by means of a search and systematic review of articles centr...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:10.1016/s0210-4806(09)74165-8

    authors: Mendivil Dacal JM,Borges VM

    更新日期:2009-04-01 00:00:00

  • [Adenomatoid tumor of the epididymis].

    abstract:OBJECTIVE:Paratesticular tumors are very rare and mostly bening. Wa aport a new case of adenomatoid tumor of epididymis METHOD:Male of 40 years old with solid lesion in epidididymis tale treated with mass exéresis RESULTS:Adenoamotid tumor of the epididymis confirmed with hystopathologic technique CONCLUSION:Adenoma...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(07)73658-6

    authors: Moyano Calvo JL,Giraldez Puig J,Sánchez de la Vega J,Dávalos Casanova G,Morales López A

    更新日期:2007-04-01 00:00:00

  • [Female sexual function before and after treatment of urinary incontinence].

    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

    authors: Thiel R,Thiel M,Dambros M,Riccetto C,López V,Rincón ME,Palma P

    更新日期:2006-03-01 00:00:00

  • Beyond the Briganti nomogram: Individualisation of lymphadenectomy using selective sentinel node biopsy during radical prostatectomy for prostate cancer.

    abstract:OBJECTIVE:To validate the technique of selective sentinel node biopsy for diagnosing and staging intermediate to high-risk prostate cancer by comparing the technique with conventional extended lymphadenectomy (eLFD) in a prospective, longitudinal comparative study. METHODS:We applied the technique to 45 patients. Afte...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/j.acuro.2016.06.002

    authors: Monserrat-Monfort JJ,Martinez-Sarmiento M,Vera-Donoso CD,Vera-Pinto V,Sopena-Novales P,Bello-Arqués P,Boronat-Tormo F

    更新日期:2017-01-01 00:00:00

  • [Antimicrobial prophylaxis in urethrocystoscopy. Comparative study].

    abstract::Instrumentation of lower urinary tract is a predisposing factor for the development of urinary infection. Incidence of infective complications following urethrocystoscopy has been evaluated in a multicenter, prospective, comparative and randomized study in 2,284 patients, who had a previous negative urine culture. Pat...

    journal_title:Actas urologicas espanolas

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Jiménez Cruz JF,Sanz Chinesta S,Otero G,Díaz González R,Alvarez Ruiz F,Flores N,Virseda J,Rioja LA,Zuluaga A,Tallada M

    更新日期:1993-03-01 00:00:00

  • [Superficial carcinoma of the bladder. The pT1 G3 tumor: progression, recurrence, and survival. Treatment].

    abstract::Surface vesical cancer continues to be a problem awaiting to be solved and with an alarmingly increasing incidence. The present report examines the inclusion criteria for the different categories as related to the accepted systems (NMT, Jwet-Marshall) and outlines the significance of the lamina propria invasion in the...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:

    authors: Nogueira March JL,Ojea Calvo A,Castro Iglesias AM,Rodríguez Iglesias B

    更新日期:1992-10-01 00:00:00