Abstract:
INTRODUCTION:primary hyperaldosteronism is one of the few potentially curable causes of secondary arterial hypertension. One of the most important variants is the adenoma of the adrenal cortex that produces aldosterona (Conn's Syndrome). The treatment of choice in this subgroup of patients was the removal of the lesion. An initial series of patients with aldosteronoma subjected to partial laparoscopic adrenalectomy is presented. MATERIALS AND METHOD:We examined the case selection and methods applied to hypertensive patients subjected to partial laparoscopic adrenalectomy between November 2001 and March 2004 due to primary hyperaldosteronism. They all presented an imaging study (CT scan) compatible with a tumour of the adrenal cortex and, in two patients the lesion was bilateral. One patient had a history of incidental adrenalectomy during and open colecistectomy performed some years previously. RESULTS:we operated on 16 patients, 13 of them women and 3 men, with a mean age of 55.4 years. We performed 18 laparoscopic adrenalectomies: 17 conservative operations and one total adrenalectomy of a 4.3 cm tumour in a patient with bilateral lesion. The mean duration of the operations was 70.9 minutes, with a mean bleeding rate of 30 ml. There were no complications or the need to resort to open surgery. Postoperative hospital stay was 2.8 days. In all the cases, the hypertension improved totally or partially. CONCLUSION:although small, the series confirmed that partial laparoscopic suprarenalectomy can be performed with good results and with the advantages of minimally invasive surgery.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
Castillo OA,Díaz M,Arellano Ldoi
10.1016/j.acuro.2010.11.009subject
Has Abstractpub_date
2011-02-01 00:00:00pages
119-22issue
2eissn
0210-4806issn
1699-7980pii
S0210-4806(10)00461-4journal_volume
35pub_type
杂志文章abstract::Description of one case of spontaneous fistulization between a renal calix and a descending colon, secondary to lithiasic pyonephrosis. Diagnosis was carried out by means of ascending pyelography without it being clinically suspected. Treatment is surgical, combining nephrectomy, fistula resection and closure of the c...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::Prostate cancer (PCa) is the fourth most common cancer in the world and treatment is currently based on surgical removal and/or radiotherapy and/or hormone therapy. In the last few years' immunotherapy has become an important cancer treatment option. While the principles of immunotherapy evolved, only sipuleucel-T was...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:10.1016/j.acuro.2020.01.009
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journal_title:Actas urologicas espanolas
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doi:10.1016/s0210-4806(02)72844-1
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
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abstract::We present our case study of 100 penile prostheses in patients suffering from erectile sexual dysfunction of different etiologies. We carry out a review of the different diagnostic stages and the different surgical approaches for prosthetic implant and their complications. ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:
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abstract::Endometriosis is a common gynecologic disease in which endometrial tissue is deposited outside the normal confines of the uterine cavity. Rarely endometriosis involves urinary tract. The bladder is the most frequent organ affected into this tract. A delay in detection can result in months or years of morbidity. ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(03)72943-x
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abstract::Case report of a patient bearer of a double-J ureteral catheter due to ureteral lithiasis. After persistent renoureteral pain and fever, the proximal migration of the catheter is confirmed radiologically. The predisposing factors for this complication, described in the literature, are reviewed. ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:
更新日期:1997-04-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(00)72447-8
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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:
更新日期:1997-03-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:
更新日期:1996-09-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
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更新日期:1998-11-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0210-4806(08)73987-1
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/j.acuro.2014.01.003
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:
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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
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doi:
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pub_type: 杂志文章
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journal_title:Actas urologicas espanolas
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1995-01-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:2010-06-01 00:00:00