Abstract：
INTRODUCTION:The retroperitoneal surgery is the clearer indication for the laparoscopic approach. Still there are indications for open surgery because of the complexity of the patient and the surgeon experience. OBJECTIVES:The main objective is to report our experience of laparoscopic radical nephrectomies in patient with tumors greater than 7 cm. or surgical specimens with more than 700 g of weight. We analyze their characteristics, complications rate, surgical time, postoperative outcome and hospital stay. MATERIALS AND METHODS:Since July 2004 to July 2008 we have performed 104 laparoscopic radical nephrectomies. We have selected 41 patients with characteristics of big surgical specimens. RESULTS:The average surgical time has been of 184,3 min. Only 1 case has been converted into open surgery and only 1 intraoperative death because of cardiologic arrhythmia. The average hospital stay has been of 3,51 days. The complications rate and postoperative outcome are similar to the whole series. DISCUSSION:Laparoscopic nephrectomy is technically less complex than radical prostatectomy. However, their possible complication implies a much bigger severity. The more complex cases must be approach laparoscopically only after a wide experience. Actually, in our department we usually indicate an open approach when surgical specimen crossover the abdominal middle line and in those cases where the tumoral thrombus affect the main renal vein and/or the vena cava.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
Alonso y Gregorio S,Sánchez S,Soler C,Rando A,Girón M,Tabernero Gómez AJ,Aguilera A,Cisneros Ledo J,de la Peña Barthel Jdoi
10.1016/s0210-4806(09)74227-5subject
Has Abstractpub_date
2009-07-01 00:00:00pages
755-8issue
7eissn
0210-4806issn
1699-7980pii
S0210-4806(09)74227-5journal_volume
33pub_type
杂志文章abstract：:Primary amyloidosis of the bladder is a rare disease entity manifested as extracellular deposits of a fibril protein in an amyloid substance form. Clinical presentation resembles a bladder tumor, as hematuria is the most common clinical manifestation. Single organ affectation is most frequent in the bladder, however, ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(01)72666-6
更新日期：2001-07-01 00:00:00
abstract：:Study of 250 pieces from nephrectomies performed in our service due to renal carcinoma, 10 (4%) of which where of the sarcomatoid histological variant. In 2 of the 10 cases, tumour was confined within the renal capsule at the time of surgery. These were the only cases where no disease progression was seen after treatm...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1996-10-01 00:00:00
abstract：:Report of a 32-year old male patient with an injury of the posterior urethra caused by firearm. Initial examination only revealed fracture of the femoral vein. Absence of spontaneous micturition during the immediate post-operative made necessary to undertake retrograde urethrography, in which a fracture of the posteri...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1995-04-01 00:00:00
abstract：INTRODUCTION:The prognosis of patients diagnosed with metastatic prostate cancer seems to be modulated by factors such as the number and site of metastases. Our objective is to evaluate survival outcomes according to the number and site of metastases in our series of metastatic patients over the last 15 years. MATERIA...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2016.09.004
更新日期：2017-05-01 00:00:00
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
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:To perform a comparative analysis of indirect and direct costs of two minimally invasive techniques (extracorporeal shock wave lithotripsy (ESWL) vs. ureteroscopy with holmium laser (URS/RIRS)) for the treatment of renal/ureteral calculi smaller than 2 cm. MATERIAL AND METHODS:Prospective, comparative, non-r...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2020.03.008
更新日期：2020-09-01 00:00:00
abstract：:The Madrid Health Care District No. 8 includes 19 town councils located in the South and West of the Autonomous Community. The actual population is 381,052 inhabitants with a floating population of 50,000 people. Currently, Mostoles Hospital is the Referral Health Centre of this district. Between 1983 and 1992, 315 pa...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：:Wilms tumour is an infantile neoplasia with low incidence in adults. Worldwide literature describes 260 cases but only 50 meet the diagnostic criteria described by Kilton. This paper presents one case diagnosed in our service and includes a review of the literature. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1991-09-01 00:00:00
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
更新日期：2009-04-01 00:00:00
abstract：:Contribution of one left renal adenocarcinoma in a 54-year old women, where the initial data was the finding of erythrocytosis discovered during routine laboratory tests performed by her gynaecologist. Review of the diagnostic and therapeutic procedures followed in this case, establishing a differentiation between ery...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：INTRODUCTION:Laparoscopic surgery through a single port is an evolution of laparoscopic surgery, possible after recent technological development of new access systems. It is an established minimally invasive technique, although its indications in the field of Urology are currently under development. MATERIAL AND METHO...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2011.10.003
更新日期：2012-02-01 00:00:00
abstract：OBJECTIVE:To analyze the incidence of urological complications, like fistula and stenosis in our series of 282 renal transplants and their management. MATERIALS AND METHODS:Between December 1995 and October 2005, 282 adult recipients underwent renal transplant. The most common urological complication was urinary fistu...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(06)73503-3
更新日期：2006-06-01 00:00:00
abstract：OBJECTIVE:To analyze the characteristics of patients with oncological problems who were users of the sperm bank, as well as use of cryopreserved semen. MATERIALS AND METHODS:A retrospective analysis was made of all cryopreserved semen samples from males diagnosed with cancer from April 1992 to October 2007 at the prov...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
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：
更新日期：1992-06-01 00:00:00
abstract：CONTEXT:Serum testosterone is mostly bound to the sex hormone-binding globulin and albumin. A small metabolically active part is present in the form of free testosterone (FT). The relationship between serum total testosterone (TT) levels and prostate carcinogenesis is debated. Our hypothesis is that the serum FT concen...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：10.1016/j.acuro.2015.03.004
更新日期：2015-11-01 00:00:00
abstract：:Introduction of a new approach for uretero-ileal implantation when only one kidney is available. The technique follows the same approach as the Wallace-type re-implantation but in this case the uretero-ileal anastomosis plate is formed with the far en 2-3 cm of ureter. All cases performed with this technique have been...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(00)72409-0
更新日期：2000-01-01 00:00:00
abstract：:Emphysematous cystitis constitutes an uncommon clinical radiological entity. (Approximately 160 cases in the literature). We offer five cases of emphysematous cystitis, all of which occurred in women aged 60-80 (X = 74.2). All of them except one proved to be known diabetics and the glycemia figures at the time of bein...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1989-09-01 00:00:00
abstract：:The germinal bilateral tumor represents from 1 to 4% of the testicle tumors, and it usually turns to be one of the most difficult ones when talking about diagnosis and treatment. We are attaching a 30 years old patient case, with a diagnosis consisting in a seminoma with yolk sac tumor area from the left testicle, tha...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：2003-02-01 00:00:00
abstract：:Basic semen tests nowadays contain no variables that may allow to certify that a man is fertile. Starting from this premise it could be clinically very useful, for the diagnosis of male infertility, to evaluate a parameter that may be related to sexual maturity and be specific of the germinal tissue, such as the C4-la...
journal_title：Actas urologicas espanolas
pub_type： 临床试验,杂志文章
doi：
更新日期：1996-11-01 00:00:00
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
更新日期：2008-02-01 00:00:00
abstract：:From the Second World War onwards an amazing development in science and clinical & surgery practice has taken place: antibiotics, blood storage, cardiac surgery, organ and tissue transplant, complete joint replacement, total intravenous nutrition or minimally invasive surgery. Paradoxically, during the last two decade...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：10.1016/s0210-4806(08)73792-6
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVE:Evaluation the diagnostic ability of unenhanced helical computed tomography in the evaluation of patients with acute flank pain. PATIENTS AND METHODS:Prospectively evaluation of 82 patients referred for acute flank pain between january 1999 and june 2000. 78 patients were imaged with, 73 abdominal ultrasound...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(01)72692-7
更新日期：2001-10-01 00:00:00
abstract：INTRODUCTION:Bladder cancer is a disease with a high prevalence due to its recurrence rate. Transurethral resection of the bladder (TURB) is the treatment in initial stages. Nevertheless, a high percentage of non-muscle-invasive tumors treated will have a recurrence 1-2 years afterwards. Adjuvant quemotherapy or immuno...
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
更新日期：2008-09-01 00:00:00
abstract：:The hernia of the bladder in the scrotum is a highly uncommon observation. From the clinical standpoint the usual manifestation is a two-stroke voiding. The recommended urological examinations to reach a diagnosis are ultrasound, endovenous urography, retrograde urethrocystography and cystoscopy. Management includes t...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1999-01-01 00:00:00
abstract：:Corporeal vein-occlusive dysfunction (CVOD) is a frequent cause of impotence. A study with eco-doppler was conducted in 36 cases where leaking was the single cause of dysfunction and in 12 associated to arterial disease, in order to evaluate whether this technique is able to diagnose the condition. The study with eco-...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1996-05-01 00:00:00
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：:We make an evaluation of 66 ureteroscopies (URS) carried out in our Service over a period of 18 months. In 55 cases it was done for therapeutic purposes in ureteral lithiasis, and in 11 cases it was for diagnostic purposes. In the treatment of lithiasis resolutive effectivity at the first attempt was 68%, in 9% ureter...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：:Inguinoscrotal bladder hernias are uncommon clinical facts more predominant in males aged between 50 and 70. This entity has no specific clinical character and diagnosis usually happens in the course of surgical repair of inguinal hernia. In about 3%-10% cases, it appears associated to inguinal hernia. Discussion of t...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
abstract：:At present the only official way for the training and obtention of a degree of specialist in Urology is through the Resident In-house Physician (MIR) program. With the passing of time both the rights and the wrongs of the training program under consideration come to light. From the former we try to obtain the maximum ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1996-02-01 00:00:00
abstract：:Some feasibility problems were detected during the evaluation of the IPSS questionnaire in Spanish that might limit its application. Our initial experience with the IPSS in patients undergoing surgery had 3 aims: 1) assess if changes in format and wording will improve feasibility; 2) evaluate symptoms before and after...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1995-03-01 00:00:00
