Abstract：
OBJECTIVES:The use of intraoperatory laparoscopic ultrasound for nephron sparring surgery (partial nephrectomy) in patients with technically challenging tumors has emerged during the last years. The objective of this work is to present a literature review and analysis of the published series, as well as the surgical technique of intraoperatory laparoscopic guided partial nephrectomy. METHODS:Pubmed and Scopus serch was performed in January 2019 including the following keywords: "intraoperative ultrasonography", "laparoscopic ultrasonography" and "partial nephrectomy", the published series are presented. We describe the laparoscopic technique of intraoperatory ultrasound during partial nephrectomy. RESULTS:All the published series present similar results in terms of tumour size which varies from 2.3 to 4 cm. Complications results are also very similar in the comparative series to the ones published in partial nephrectomies. They show promising oncological results during follow up with a rate superior to 90% of negative margins, comparable to those of exophytic tumor partial nephrectomies. CONCLUSIONS:The use of intraoperatory ultrasound during laparoscopic surgery to localize intraparenchymatous renal lesions can expand the indications of partial nephrectomy to more technically challenging tumors. These indications are not yet well standardized. Due to its complexity, the need of previous surgical experience is required to achieve good results and corroborate the security and feasibility of this procedure. Prospective randomized trials are needed to confirm the benefits of intraoperatory laparoscopic ultrasound for nephron sparring surgery (partial nephrectomy). OBJETIVO:En los últimos años ha emergido el uso de la ecografía laparoscópica intraoperatoria en pacientes con tumores inicialmente complejos para la realización de nefrectomías parciales. El objetivo es realizar una revisión bibliográfica de las series publicadas analizando sus resultados y presentar la técnica quirúrgica de la nefrectomía parcial laparoscópica en los tumores intrarrenales.MÉTODOS: Se realiza una búsqueda bibliográfica en Pumbed y Scopus en Enero de 2019 incluyendo los términos “intraoperative ultrasonography”, “laparoscopic ultrasonography” y “partial nephrectomy” en lengua inglesa y se presentan las series de casos publicadas. Descripción de la técnica laparoscópica de ecografía intraoperatoria renal durante la nefrectomía parcial. RESULTADOS:Las diez series publicadas presentan resultados acerca del tamaño medio de las masas intervenidas que oscilan entre los 2,3 y 4 cm. Los resultados de complicaciones son muy similares en las series comparativas a los del resto de nefrectomías parciales. Respecto a la tasa de márgenes negativos en todas las series presenta una tasa superior al 90% con buenos resultados oncológicos en el seguimiento equiparables a la nefrectomía parcial de tumores periféricos. CONCLUSIONES:La utilización durante la cirugía laparoscópica renal de la ecografía intraoperatoria para localización de masas intraparenquimatosas puede expandir la indicación de la nefrectomía parcial a tumores técnicamente más complejos. Las indicaciones de uso de esta técnica no están aún estandarizadas y dada la complejidad precisan de una experiencia quirúrgica previa para ser llevadas a cabo asegurando buenos resultados que corroboren la seguridad y factibilidad de este procedimiento. Son necesarios estudios prospectivos randomizados para confirmar los beneficios de la nefrectomía parcial asistida con ecografía intraoperatoria.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Rodríguez-Monsalve M,Del Pozo Jiménez G,Carballido J,Castillón Vela Isubject
Has Abstractpub_date
2019-10-01 00:00:00pages
729-737issue
8eissn
0004-0614issn
1576-8260pii
2019-72-8-0b66d71225aafb83b443391202bd226749ff618cjournal_volume
72pub_type
杂志文章,评审abstract：:The accelerated expansion of the knowledge of genetic and molecular basics of cancer, together with the recent development of molecular biology techniques, have had a significant impact in the field of oncology, among other medical disciplines. So, over the last few years, we are crossing from an empiricism-based mode...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2013-06-01 00:00:00
abstract：OBJECTIVE:To describe an additional case of multilocular cystic nephroma, with special reference to the sonographic features of a renal cystic lesion. METHODS:The clinical and radiological features of a kidney tumor in a 61-year-old female patient were retrospectively analyzed. RESULTS:The preoperative diagnosis was ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1998-06-01 00:00:00
abstract：OBJECTIVE:To present our experience with free graft buccal mucosa substitution urethroplasties. METHODS:Between June, 1992 and December, 1997, we performed 18 urethroplasties with buccal mucosa in 17 patients (double urethroplasty in the same stage in one): 8 for the repair of urethral strictures, 9 for the repair of ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1998-09-01 00:00:00
abstract：:We evaluated the results and complications of 85 ureteroneocystostomies performed from 1978 to 1987. These varied according to the etiology of the disorder; the success rate was 100% for malformations, 87.5% for gynecologic ureters, and 80% for stenosis of the end of the ureter. Several surgical techniques were employ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1989-06-01 00:00:00
abstract：:We report 14 cases of primary retroperitoneal tumor and one retroperitoneal papillary cystoadenoma in a patient who had undergone hysterectomy and bilateral adnexectomy for uterine myomatosis 15 years before the onset of the clinical features that led to the diagnosis of retroperitoneal tumor. For this reason, we beli...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1991-10-01 00:00:00
abstract：:Analysis of urinary stones is an essential step in establishing the diagnosis and treatment of the stone patient. In fact, the need for an exhaustive study of the stones increases as the relationships between the type of stone and the etiological factors that predispose to this disease become evident. The enumeration ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2021-01-01 00:00:00
abstract：SUMMARY OBJECTIVES:Case report of a mature cystic teratoma (dermoid cyst), pseudopilomatrixoma like variant. METHOD:53-year old patient with a left testicular mass, diagnosed as mature cystic teratoma of the testis(dermoid cyst), the pilomatrixoma-like variant, after radical orchiectomy. Tumoral markers were negative ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：10.4321/s0004-06142009000900011
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVE:To determine the efficacy of urinary BTA-TRAK as a marker in monitoring superficial transitional cell carcinoma of the bladder and to compare urine cytology with urinary sediment testing. METHODS:700 consecutive determinations using BTA-TRAK to monitor unselected patients that had undergone surgery for trans...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：:The authors describe an experimental technique of endoscopic autotransplantation of the testis. Four trocars are utilized; one is placed at the level of the umbilicus, one in the right flank, another in the left flank, and one in the hypogastrium. Five or six cms of the epigastric vessels are dissected and sectioned. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
abstract：:Testicular tumors have a typical form of presentation, but there are also unusual forms that must always be considered. We report on 5 cases of testicular tumors that had an uncommon form of presentation: 3 seminomas (1 anaplastic), 1 teratocarcinoma and 1 carcinoma in situ. All testicular changes, particularly in the...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：:We present our experience with bladder substitution in radical surgery for bladder cancer. Ileocapsuloplasty was performed in 40 patients. There were 2 postoperative deaths and 11 patients died from tumor recurrence or progression 2 to 10 years later. Two patients had urothelial tumor recurrence in the capsuloplasty. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1992-11-01 00:00:00
abstract：:The progressive aging of the population and the wish to keep a good quality of life in advanced ages makes testosterone deficit syndrome associated with aging a health issue of increasing relevance. It is a proved fact there is a decrease of androgen levels associated with aging. Nevertheless, there are some difficult...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2013-09-01 00:00:00
abstract：:Papillary transitional cell carcinoma of the bladder (PTCCB) is characterized by a high recurrence rate with infiltration of bladder wall and surrounding tissues. The outcome is poor in 10-20% of the cases and these cannot be detected by conventional methods. Different methods have been utilized to identify this high ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：:The therapeutic indications for renal cysts, a pathology observed in more than 50% of subjects aged over fifty years, are currently limited to their symptomatic forms or those of uncertain diagnosis. The approach has changed from the unroofing procedure to percutaneous sclerotherapy and, thereafter, to percutaneous re...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：OBJECTIVE:To review current management of renal calcium stones. METHODS:Data from our experience are presented and the literature is reviewed. The results and indications of treatment are analyzed. RESULTS/CONCLUSIONS:Pyelic calculi are the best indication for ESWL. The success rate ranges from 33%-90% and is influen...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2001-11-01 00:00:00
abstract：OBJECTIVE:To present a case of inflammatory pseudotumor of the urinary bladder, with special reference to the differential diagnosis. METHODS/RESULTS:A 26-year-old patient with a history of gross hematuria and voiding syndrome underwent partial cystectomy for a bladder tumor. Pathological analysis disclosed an inflamm...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1999-05-01 00:00:00
abstract：:Tuberculosis stricture of the ureter is a process that may lead to loss of renal function if undiagnosed and untreated at the right time. Currently, tuberculostatic agents combined with steroids, and the possibility of recurring to endourological treatment, achieve a high success rate. Our experience with 4 cases is d...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1993-05-01 00:00:00
abstract：OBJECTIVES:The present study describes two patients with retroperitoneal fibrosis following prolonged use of bromocriptine and pergolide for Parkinson's disease. Both patients also presented severe atheromatosis. METHODS:Similar cases reported in the literature are reviewed and the possible relationship between the us...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1995-12-01 00:00:00
abstract：OBJECTIVES:Upper urinary tract tumors are a rare condition. We review our experience in the diagnosis of upper urinary tract tumors and their recurrences, emphasizing the management of recurrences. METHODS:From January 1980 to June 2002 139 endourological procedures were carried out in 94 patients with the working dia...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2004-04-01 00:00:00
abstract：OBJECTIVE:We report one case of metastatic dissemination of a rectal adenocarcinoma to the prepuce. METHODS:61-year-old patient with the diagnosis of rectal adenocarcinoma treated 18 months before by surgery and chemotherapy. He presents with a painful enlargement of the penis associated with outgrowing erythematous l...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142006000700011
更新日期：2006-09-01 00:00:00
abstract：OBJECTIVES:We report 5 new cases of primary psoas abscess in this review. We describe the various pathogen agents involved in the development of this disease, as well as the etiopathogenesis, which is explained by several theories, being the most commonly accepted hematogenous dissemination from a septic focus. In the ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2003-09-01 00:00:00
abstract：OBJECTIVE:To describe a case of crossed testicular ectopia that was diagnosed in a 52-year-old patient who had consulted for infertility associated with a genital anomaly. METHODS:Patient evaluation included hematological, hormonal, cytogenetic and imaging studies. An exploratory operation was also performed. RESULTS...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1997-10-01 00:00:00
abstract：OBJECTIVE:To describe an additional case of endometriosis of the bladder and to review the diagnostic and therapeutic aspects. METHODS/RESULTS:A case of endometriosis of the bladder in a 30-year-old female with a long history of dysuria, pollakiuria and suprapubic pain during menstruation is described. The endoscopic ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1999-11-01 00:00:00
abstract：:The authors carried out detailed experiments on cats under anaesthesia, with electrical stimulation of the L7, S1, S2 and S3 ventral roots and of the vesical detrusor in order to study their contraction. They varied the frequency, intensity and duration parameters of the stimulation beats, using as contraction index, ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1980-07-01 00:00:00
abstract：OBJECTIVES:Testicular cancer affects young and fertile patients. Half of them are non seminomatous tumors. The management of this cancer in stage I includes: watchful waiting, chemotherapy and retroperitoneal lymph node dissection (RPLND). In the past, classic RPLND produced a high rate of anejaculation with the subseq...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142008000400008
更新日期：2008-05-01 00:00:00
abstract：OBJECTIVES:To report the principles of penile resculpturing of different deformities caused by M. Peyronie: restoration of penile length, girth and shape with or without penile prosthesis implantation. METHODS:In the period between February 2007 and March 2009, we performed grafting surgery for M. Peyronie in 98 patie...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2010-11-01 00:00:00
abstract：OBJECTIVES:The advances of minimally invasive surgery in urology over the last years have enabled a progressive and constant implementation of endourology and laparoscopy in pediatric patients. We perform a review of our experience, as a general hospital, with minimally invasive surgery performed in pediatric patients ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2008-07-01 00:00:00
abstract：OBJECTIVES:To report the series of our Urology Department in the treatment of urinary stone disease with extracorporeal lithotripsy as well as the effectiveness of the Dornier lithotripter MFL-5000. METHODS:6.602 patients were treated by extracorporeal lithotripsy during 12 years with a total of 17.120 sessions. We ex...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVES:44/2003 Law involved the creation of the National Council of Specialties in Health Sciences and the National Commissions of the Specialties in Health Sciences. METHODS:Analysis of the main laws implicated in Specialized Training and the role of the National Specialty Commission. DISCUSSION:44/2003 Law regu...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:To analyze the clinical, ultrasound and pathological characteristics of patients with prostate cancer diagnosed by ultrasound-guided transrectal biopsy who consulted for lower urinary tract symptoms compatible with benign hyperplasia of the prostate. METHODS:From 1994 to 1998 ultrasound-guided transrectal bi...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1999-12-01 00:00:00
