Abstract：
PURPOSE:To evaluate the peri- and post-surgical complications in Renal Adenocarcinoma (RAC) treated with Radical Nephrectomy (RN). MATERIAL AND METHOD:Revision of 109 patients with RAC who underwent transperitoneal anterior abdominal RN. Patients were locally staged post-surgically as: T1 + T2 61.5%, T3a 22.9%, T3ab 11% and T3b 4.6%. Approach and conservation of homolateral suprarenal gland were decided based on the preferences of the performing urologist. Hilar lymphadenectomy was performed in all cases. RN was done by a staff member in 77% cases and by a training resident assisted by a staff member in the remaining 23%. RESULTS:Peri-operative complications occurred in 10% patients, most commonly with left RN (13% vs. 7%) (p = 0.1), and further within this group the most frequent ones occurred in those using midpoint laparotomy (17.8% vs. 4%) (p = 0.1). Blood transfusion during surgery was required in 23% patients, this being more frequent when tumours had extended into the venous system (47%) and in left RN by midpoint laparotomy (39% vs. 12.5%) (p = 0.02). There were 32 post-surgical complications in 27 (24.8%) patients, the most common being sepsis of the surgical wound (6.4%); complications were more usual in patients undergoing right RN (31% vs. 20%) (p = 0.08) and in patients with blood transfusions (40% vs. 20%) (p = 0.4). There were no deaths. CONCLUSIONS:In our series, RN showed low intraoperative morbidity (10%), non-insignificant post-operative morbidity (24.8%) and no mortality. We consider subcostal laparotomy to be the best surgical approach in left RAC, with low morbidity and low peri-operative blood requirements.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
Herranz Amo F,Verdú Tartajo F,Díez Cordero JM,Rodríguez Fernández E,Lledó García E,Moncada Iribarren I,Jara Rascón J,González Chamorro F,de Palacio España Asubject
Has Abstractpub_date
1997-01-01 00:00:00pages
15-21issue
1eissn
0210-4806issn
1699-7980journal_volume
21pub_type
杂志文章abstract：PURPOSE:To evaluate the effect of JJ stents on SWL treatment of moderate (15-25mm) renal pelvic stones. MATERIALS AND METHODS:Between January 2016 and December 2017, a total of 152 adult patients who were planned to undergo SWL for a single radiopaque renal pelvic stone were included in the study. Patients with solita...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.acuro.2019.03.009
更新日期：2019-10-01 00:00:00
abstract：:Melanomas make up 2% of all body tumours, but the figure is increasing mainly in countries with longer sun hours daily. Genitourinary location is even more infrequent. That explains our clinical report when we discovered the three cases seen in our unit, one in a female urethra, one suprarenal and the third one in the...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1991-07-01 00:00:00
abstract：:Presentation of three cases of haemodialysis patients with acquired cystic renal disease (ACRD) who, over the course of their illness, developed clear cells renal carcinoma. The paper emphasizes the common association of these two entities and the need to consider ACRD cases as patients at high risk of developing rena...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1992-07-01 00:00:00
abstract：:Radical nephrectomy is the only curative treatment for renal cell cancer. Standard treatment includes ipsilateral adrenalectomy and lymph node dissection. In recent years, development of nephron-sparing surgery and early detection of small renal tumors has led to question this approach. The role of lymphadenectomy and...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：10.1016/s0210-4806(09)74190-7
更新日期：2009-05-01 00:00:00
abstract：:Benign prostatic hyperplasia (BPH) is a high prevalence condition in men over 50 years that requires continued assistance between primary care and urology. Therefore, consensus around common referral criteria was needed to guide and support both levels. Medical history, symptom assessment with International Prostate S...
journal_title：Actas urologicas espanolas
pub_type： 共识发展会议,杂志文章,实务指引
doi：10.1016/s0210-4806(10)70007-3
更新日期：2010-01-01 00:00:00
abstract：:With the development and improvement of imaging techniques, we are witnessing a greater number of disease diagnoses considered uncommon only a few years ago. When the diagnosis of a tumoral disease occurs "incidentally" while performing an imaging examination for other reasons, we name the condition "INCIDENTALOMA". A...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(99)72355-7
更新日期：1999-09-01 00:00:00
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：INTRODUCTION:Considering that BPH is a highly common condition in the urological practice, that demographic changes further emphasise this feature and that the analysis of costs, funding and health care management are becoming increasingly under scrutiny, it is important to know the cost per procedure of the most commo...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1999-03-01 00:00:00
abstract：:An asymptomatic case of cystic renal carcinoma is presented. The only diagnosis of certainty was given by a marked increase in L.D.H. levels in the fluid of the tumor after puncture. The pros and cons of imaging studies, and the relative lack of value of aspiration cytology when negative results are encountered are di...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1989-05-01 00:00:00
abstract：:Presentation of 11 cases of retroperitoneal sarcoma. Mean time from the beginning of symptoms to diagnosis is 6 months. The primary complementary study is CT. Surgery was performed in all cases, using complete resection in 6 cases, and partial resection in 5. Ten patients relapsed. 9 of which were treated with surgica...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1997-11-01 00:00:00
abstract：INTRODUCTION AND OBJECTIVES:Pyeloplasty has always been the treatment of choice for ureteropelvic junction obstruction at our center, where a laparoscopic approach has been used in the last 4 years to perform this procedure. Results of open pyeloplasty (OP) and laparoscopic pyeloplasty (LP) performed at our center in t...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(09)72899-2
更新日期：2009-10-01 00:00:00
abstract：OBJECTIVES:The functional symptoms of the filling phase and detrusor overactivity are two inter-related dysfunctions of the lower urinary tract. We have aimed to study the participation of the lesion of the pudendal nerve in both urinary dysfunctions. MATERIAL AND METHODS:A cross-sectional cutoff study in a series of ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2011.07.011
更新日期：2012-01-01 00:00:00
abstract：:The presence of neoplasms in patients with renal transplant in a higher frequency than in general people is known since a long time. The most frequent tumours were the skin tumours, followed by other tumours common in immunosuppressed patients. The ain of this work has been study the frequency, type, diagnosis, treatm...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1998-11-01 00:00:00
abstract：:Presentation of the analytical results from the patients seen for lithiasic disease (LD) over a two-year period at the Hospital Reina Sofia, Tudela. This Hospital covers a homogeneous Health Area including 22 villages and a population of 76,000 people. The clinical cases of 785 patient diagnosed with LD between May 19...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1995-09-01 00:00:00
abstract：:We present a case of seminal vesicle cyst in a fertile patient. Sporadically appearing hemospermia was the only symptom. We single out thiss pathology and the clinical procedure of this case as being uncommon. Transabdominal echography revealed the presence of the cyst. The T.A.C. did not offer further data. The Defer...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1989-07-01 00:00:00
abstract：CONTEXT:Despite being a validated source of biomarkers, liquid biopsy has not yet succeeded in becoming part of the standard clinical practice in prostate cancer patients. Few biomarkers undergo adequate validation, prospective and independent, of their predictive and/or prognostic value, which results in a lack of the...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：10.1016/j.acuro.2019.08.007
更新日期：2020-04-01 00:00:00
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
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:We present the oncological and functional results from a series of 43 patients with renal tumours, treated consecutively with robot-assisted partial nephrectomy (RPN). MATERIALS AND METHOD:Between 2010 and 2014, we performed 95 RPNs. To assess the results, we included only those patients (n=43) who had a mi...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2015.10.004
更新日期：2016-05-01 00:00:00
abstract：CONTEXT:High-dose rate brachytherapy (HDR-BT) is an increasingly popular treatment for patients with localised prostate cancer (PC). OBJECTIVE:To assess the safety and efficacy of HDR-BT as monotherapy in PC. ACQUISITION OF EVIDENCE:A systematic literature review was conducted through searches on MEDLINE (PubMed), Co...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：10.1016/j.acuro.2016.06.001
更新日期：2017-03-01 00:00:00
abstract：INTRODUCTION:We try to establish the chronological evolution that has taken the renal transplant in Spain. Supported on the heuristic one we gather from the first experiences and scientific works published at the beginning of the sixties up to those of the finals of the XXth century in which the procedure is already co...
journal_title：Actas urologicas espanolas
pub_type： 历史文章,杂志文章
doi：10.1016/s0210-4806(06)73530-6
更新日期：2006-09-01 00:00:00
abstract：:Our service performed a total of 619 kidney transplants between February 1980 and March 1993. Among them, 41 new neoplasias (6.6%) were diagnosed. Most frequent tumour was epithelioma (25) with a presentation age lower than in the normal population. Amongst the remaining tumours (16), the occurrence of 2 lymphoma and ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1994-05-01 00:00:00
abstract：:The urolithiasis is a very common disease that it causes, in addition to the suffering for the patients, an important cost sanitary partner. The composition of the renal stones that can influence in the treatment and later evaluation of the disease, varies in the different zones. In our work the composition of the ren...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(04)73157-5
更新日期：2004-10-01 00:00:00
abstract：:Sling procedures have been around for decades in the management female stress urinary incontinence (SUI), but only in the past decade they have become the preferred technique. Minimally invasive procedures are the procedure of choice in many centers for your efficacy and low morbidity. The tendinous urethral support (...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(07)73718-x
更新日期：2007-07-01 00:00:00
abstract：:Contribution of one case of epidermoid carcinoma of the urethra in a 47-year old male with a several years old urethral stenosis. The significance of urethroscopy and the obtention of biopsies for diagnosis is emphasised. Also a review is made of the existing literature on the different therapeutical alternatives. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1998-09-01 00:00:00
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：
更新日期：1992-10-01 00:00:00
abstract：OBJECTIVES:To present to report the first case of ureteral lithiasis resolved using a new endoscopic approach, which we call microureteroscopy (m-URS) and attempts to reduce the ureteral damage caused by conventional instrumentation. MATERIAL AND METHODS:We selected a 53-year-old patient with a 16-mm calculus in the r...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2014.08.004
更新日期：2015-06-01 00:00:00
abstract：PURPOSE:The increasing number of ultrasonographically detected asymptomatic, renal dilations have caused a lot of explorations to be performed in these patients. The Society of Fetal Urology proposed a four grades classification of echographic renal dilations and renographic studies are recommended in grades II to IV. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(01)72568-5
更新日期：2001-01-01 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：:Contribution of one case report of papillary cystadenoma, a very uncommon benign epithelial tumour. Related to von Hippel-Lindau's disease, it may be associated to infertility. It tends to occur in young adults, lesions being bilateral in one third of cases. It is diagnosed through palpation and particularly with ultr...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(00)72541-1
更新日期：2000-10-01 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
