[Laparoscopic adrenalectomy. Five-year experience]. / Suprarrenalectomía laparoscópica. Experiencia de 5 años.

OBJECTIVE: Adrenal conditions requiring surgery are uncommon and are usually seen in several surgical departments. Our experience in laparoscopic management of adrenal pathology after almost five years of use of laparoscopy for retroperitoneal conditions at our center is reported. MATERIALS AND METHODS: A total of 37 laparoscopic adrenalectomies were performed over 53 months for benign and malignant conditions. The transperitoneal approach was used in most cases (97%) because of the greater surgeon experience with this route. Pregnancy and suspected periadrenal infiltration were considered as absolute contraindications. RESULTS: Mean operating time was 90 minutes, mean intraoperative bleeding 80 ml, and mean hospital stay was 2 days. The main complication was one death. A malignancy was found in 4 patients (10%), while all other patients (90%) had a benign condition, including 8 pheochromocytomas. CONCLUSIONS: Laparoscopy is considered to be the gold standard for benign adrenal conditions. When the malignant mass is a single metastasis from a primary tumor, the laparoscopic approach appears to be reliable. When the malignant lesion is a primary adrenal tumor, laparoscopic management is more controversial, although the results reported by experienced surgeons in their series appear to be adequate.

[Laparoscopic nephron-sparing surgery. 5 years' experience]. / Cirugía conservadora de parénquima renal laparoscópica. Cinco años de experiencia.

INTRODUCTION: Laparoscopic nephron-sparing surgery is among the most complex urological procedures currently performed. Open surgery continues to be the gold standard of care, but the laparoscopic approach is gaining ground slowly but surely. Our 5 years' experience is reported. MATERIALS AND METHODS: From September 2004 to March 2009, 38 laparoscopic nephron-sparing procedures were performed at our hospital. A transperitoneal laparoscopic approach was used in all cases, with en bloc clamping of renal hilum in most patients. RESULTS: Mean operating time was 141 min, mean intraoperative bleeding 130 mL, mean warm ischemia time 24 min, and mean hospital stay 3.3 days. Bleeding was the most common complication (requiring transfusion in 13.5% of patients). Positive surgical margins were found in 5.4% of patients. CONCLUSIONS: Adequate selection of the patient (tumor size, location) and the procedure to be used, surgeon experience, and surgical skills are essential for achieving good oncological results and for minimizing the complications of this demanding procedure.

Cirugía conservadora de parénquima renal laparoscópica. Cinco años de experiencia / Laparoscopic nephron-sparing surgery. 5 years’ experience

Objetivo: La cirugía renal conservadora de parénquima laparoscópica es una de las técnicas más complejas que se pueden realizar en Urología en el momento actual. En la actualidad, la técnica abierta continúa siendo el gold standard, aunque lentamente la laparoscopia se va implantando. Presentamos nuestra serie de casi 5 años. Material y métodos: Desde septiembre de 2004 hasta marzo de 2009 se han realizado 38 cirugías conservadoras de parénquima renal por vía laparoscópica. Todas ellas se han realizado con el abordaje transperitoneal, con un clampaje en bloque del hilio renal en la mayoría de los casos. Resultados: El tiempo quirúrgico medio es de 141min, sangrado intraoperatorio medio de 130cm3, con un tiempo medio de clampaje de 24min y una estancia media postoperatoria de 3,3 días. La complicación más frecuente es el sangrado (transfusión, el 13,5%). El porcentaje de márgenes positivos es del 5,4%. Conclusiones: Con el fin de obtener unos buenos resultados oncológicos y reducir al mínimo las complicaciones, es fundamental la buena selección del caso (tamaño y localización del tumor) así como de la técnica que se va a emplear. La experiencia del cirujano y sus recursos laparoscópicos son de vital importancia (AU)

Introduction: Laparoscopic nephron-sparing surgery is among the most complex urological procedures currently performed. Open surgery continues to be the gold standard of care, but the laparoscopic approach is gaining ground slowly but surely. Our 5 years’ experience is reported. Materials and Methods: From September 2004 to March 2009, 38 laparoscopic nephron-sparing procedures were performed at our hospital. A transperitoneal laparoscopic approach was used in all cases, with en bloc clamping of renal hilum in most patients. Results: Mean operating time was 141min, mean intraoperative bleeding 130mL, mean warm ischemia time 24min, and mean hospital stay 3.3 days. Bleeding was the most common complication (requiring transfusion in 13.5% of patients). Positive surgical margins were found in 5.4% of patients. Conclusions: Adequate selection of the patient (tumor size, location) and the procedure to be used, surgeon experience, and surgical skills are essential for achieving good oncological results and for minimizing the complications of this demanding procedure (AU)

Suprarrenalectomía laparoscópica. Experiencia de 5 años / Laparoscopic adrenalectomy. Five-year experience

Objetivo: la patología adrenal susceptible de indicación quirúrgica es poco frecuente y normalmente se encuentra dividida entre varios servicios quirúrgicos. Presentamos nuestra experiencia en el manejo laparoscópico tras casi 5 años de implantación de la laparoscopia en la patología retroperitoneal en nuestro centro. Material y métodos: en 53 meses se han realizado un total de 37 suprarrenalectomías por patología benigna y maligna. El abordaje más frecuentemente empleado es el transperitoneal (97%) debido a la mayor experiencia del cirujano con esta vía. La paciente embarazada y la sospecha de infiltración periadrenal se han tomado como contraindicaciones absolutas. Resultados: el tiempo quirúrgico medio es de 90 minutos, sangrado intraoperatorio de 80 cc, estancia media postoperatoria de dos días y la principal complicación ha sido un exitus. En4 ocasiones la patología es maligna (10%), el resto (90%) benigna, con 8 feocromocitomas. Conclusiones: la laparoscopia se considera el patrón oro para la patología benigna adrenal. Cuando la lesión es de naturaleza maligna, en caso de ser una metástasis única procedente de otro tumor primario, parece que el abordaje laparoscópico es fiable. Cuando la lesión maligna es primaria adrenal existe más controversia en este tipo de abordaje, si bien es cierto que en series de cirujanos experimentados los resultados parecen adecuados (AU)

Objective: Adrenal conditions requiring surgery are uncommon and are usually seen in several surgical departments. Our experience in laparoscopic management of adrenal pathology after almost five years of use of laparoscopy for retroperitoneal conditions a tour center is reported. Materials and methods: A total of 37 laparoscopic adrenalectomies were performed over 53months for benign and malignant conditions. The transperitoneal approach was used in most cases (97%) because of the greater surgeon experience with this route. Pregnancy and suspected periadrenal infiltration were considered as absolute contraindications. Results: Mean operating time was 90 minutes, mean intraoperative bleeding 80 ml, and mean hospital stay was 2 days. The main complication was one death. A malignancy was found in 4 patients (10%), while all other patients (90%) had a benign condition, including8 pheochromocytomas. Conclusions: Laparoscopy is considered to be the gold standard for benign adrenal conditions. When the malignant mass is a single metastasis from a primary tumor, the laparoscopic approach appears to be reliable. When the malignant lesion is a primary adrenal tumor, laparoscopic management is more controversial, although the results reported by experienced surgeons in their series appear to be adequate (AU)

A review of penile cancer.

UNLABELLED: Cancer of the penis is a rare tumour in Europe and mainly affects the elderly patient population. The aim of this paper was to analyse and study the characteristics of this tumour, in our patient population. MATERIALS AND METHODS: A retrospective study was conducted on penile tumours diagnosed and treated in the Urology Department of the Hospital Universitario La Paz, Madrid, in the last ten years. RESULTS: A total of 34 patients were diagnosed and treated. The mean age at presentation was 71.27 years. The mean time between symptoms and the first consultation was 12.54 months with a median of 6 months. The most common form of presentation was balanoposthitis (32%) and the most common site in our series was the glans. Partial penectomy was performed in 22 cases, total amputation in 8, and local excision in 3. DISCUSSION: Carcinoma of the penis is a pathology which mostly affects elderly patients; in our series, the highest incidence was observed in patients in the group aged 75-84 years. The most common histological type was epidermoid carcinoma in its various forms of presentation. We recorded a mortality of 23%. CONCLUSION: Penile carcinoma is a rare pathology which affects elderly persons and is diagnosed late.

[Laparoscopic urinary diversions]. / Derivaciones urinarias laparoscópicas.

INTRODUCTION: The treatment of the invasive bladder cancer and the recurrent T1G3 is clearly established in radical cystectomy and pelvic linphadenectomy. One of the fields where the laparoscopic approach implies more doubts is the treatment of bladder cancer, because it requires experience enough in pelvic laparoscopic surgery and the urinary diversion implies great technical difficulties to the laparoscopic approach. OBJECTIVES: The main goal of this article is to report our results with the urinary diversion after laparoscopic radical cystectomy where the ureteral anastomosis has been performed by a laparoscopic approach. METHODS: From January 2005 to December 2007 we have performed 67 laparoscopic radical cistectomies. We conducted 28 laparoscopic urinary diversions with our technique: 7 neobladder with an average age of 54, 85 years and 21 ileal conduit with an average age of 69, 15 years. RESULTS: The averagesurgical time for enterocistoplasty with laparoscopic urethral and ureteral anastomosis is of 5 hours and 30 minutes. For the cutaneous ureteroileostomy with laparoscopic ureteral anastomosis the average surgical time has been of 4 hours and 30 minutes. We have had 1 case of urinary leakage in the laparoscopic neobladder and 3 cases in the laparoscopic ileal conduit (14%). We have not intestinal dehiscence nor ileal-ureteric stenosis. The average hospital stay for laparoscopic neobladder is for the 85% of cases of 13.6 days, and of 11.8 days for the 77.7% of ileal ureteric laparoscopies. DISCUSSION: The laparoscopic radical cystectomy is still a procedure reserved for groups with great experience in laparoscopic surgery. Nowadays, the most accepted procedure by most groups includes perform the cystectomy by a laparoscopic approach and the urinary diversion by an open approach. There is no evidence of the advantages of laparoscopic urinary diversion. It is necessary to perform comparative studies to clearly define the role of laparoscopic surgery in the urinary diversion.

Derivaciones urinarias laparoscópicas / Laparoscopic urinary diversions

Introducción: El tratamiento del cáncer vesical infiltrante y el carcinoma superficial de alto grado recidivante está claramente establecido en la cistectomía radical y linfadenectomía pelviana. Uno de los campos que más dudas plantea en su abordaje por vía laparoscópica es el tratamiento radical del cáncer vesical, que exige experiencia en cirugía laparoscópica pelviana y en el que la derivación urinaria presenta grandes dificultades técnicas a su abordaje laparoscópico. Objetivos: El objetivo fundamental de este artículo es comunicar nuestros resultados con las derivaciones urinarias tras cistectomía radical laparoscópica en las que hemos llevado a cabo las anastomosis ureteroileales por vía laparoscópica. Material y Métodos: Desde enero del 2005 hasta diciembre 2007 hemos completado 67 cistectomías radicales laparoscópicas. Hemos realizado un total de 28 derivaciones urinarias laparoscópicas según nuestra técnica, siendo en 7 pacientes enterocistoplastias de sustitución con una edad media de 54,85 años y en 21 pacientes ureteroileostomía cutánea con una edad media de 69,15 años. Resultados: El tiempo quirúrgico medio de la enterocistoplastia con anastomosis uretral y ureteral laparoscópicas es de 5 h y 30 min. Para la ureteroileostomía cutánea con anastomosis ureteral laparoscópica el tiempo quirúrgico medio ha sido de 4hs.y 30 min. Hemos tenido 1 caso de fuga urinaria en las neovejigas laparoscópicas y 3 casos en los conductos ileales laparoscópicos (14%). No hemos tenido ningún caso de dehiscencia intestinal ni de estenosis ureteroileal. La estancia media de las neovejigas es de 13,6 días para el 85% de los casos y de 11,8 días para el 77,7% de las ureteroileostomías laparoscópicas. Discusión: La cistectomía radical laparoscópica constituye un procedimiento todavía relegado a centros con gran experiencia en cirugía laparoscópica. El procedimiento más aceptado por la mayoría de los grupos incluye realizar la cistectomía por vía laparoscópica y la derivación urinaria por vía abierta. No existen evidencias sobre las posibles ventajas de las derivaciones urinarias por vía laparoscópica. En cualquier caso, son necesarios estudios comparativos para definir claramente el papel de la cirugía laparoscópica en las derivaciones urinarias (AU)

Introduction: The treatment of the invasive bladder cancer and the recurrent T1G3 is clearly established in radical cystectomy and pelvic linphadenectomy. One of the fields where the laparoscopic approach implies more doubts is the treatment of bladder cancer, because it requires experience enough in pelvic laparoscopic surgery and the urinary diversion implies great technical difficulties to the laparoscopic approach. Objetives: The main goal of this article is to report our results with the urinary diversion after laparoscopic radical cystectomywhere the ureteral anastomosis has been performed by a laparoscopic approach. Methods: From January 2005 to December 2007 we have performed 67 laparoscopic radical cistectomies. We conducted 28laparoscopic urinary diversions with our technique: 7 neobladder with an average age of 54,85 years and 21 ileal conduit with an average age of 69,15 years. Results: The average surgical time for enterocistoplasty with laparoscopic urethral and ureteral anastomosis is of 5 hours and30 minutes. For the cutaneous ureteroileostomy with laparoscopic ureteral anastomosis the average surgical time has been of 4hours and 30 minutes. We have had 1 case of urinary leakage in the laparoscopic neobladder and 3 cases in the laparoscopic ileal conduit (14%). We have not intestinal dehiscence nor ileal-ureteric stenosis. The average hospital stay for laparoscopic neobladder is for the 85% of cases of 13,6 days , and of 11,8 days for the 77,7% of ileal ureteric laparoscopies. Discussion: The laparoscopic radical cystectomy is still a procedure reserved for groups with great experience in laparoscopic surgery. Nowadays, the most accepted procedure by most groups includes perform the cystectomy by a laparoscopic approach and the urinary diversion by an open approach. There is no evidence of the advantages of laparoscopic urinary diversion. Itis necessary to perform comparative studies to clearly define the role of laparoscopic surgery in the urinary diversion (AU)

Cirugía retroperitoneal laparoscópica. Experiencia del Hospital Universitario La Paz / Retroperitoneal laparoscopic surgery. Experience at the Hospital Universitario La Paz

Objetivo: Con la popularización de la prostatectomía radical laparoscópica, dicha técnica vuelve a tomar un papel importante en el funcionamiento de los servicios de urología. Nuestra mayor experiencia en laparoscopia hace que cada vez realicemos más intervenciones mediante este abordaje. En este sentido, la cirugía retroperitoneal probablemente se beneficie más claramente que la prostática de la cirugía mínimamente invasiva. En este artículo describimos nuestra serie de casi 4 años. Métodos: El periodo analizado abarca desde Junio 2004 hasta Marzo 2008, durante el cual se han llevado a cabo 288 cirugías retroperitoneales (179 nefrectomías, 109 procedimientos varios). La vía de abordaje ha sido tranperitoneal en la gran mayoría de los casos. Resultados: La estancia hospitalaria media fue de 3,6 días para las nefrectomías y 3 días para los otros procedimientos. La tasa de transfusión de las nefrectomías es del 5% y un 2% de reconversión. En las cirugías variadas el porcentaje de transfusión fue del 6% y no existió ninguna reconversión. Conclusiones: La expansión de la laparoscopia en Urología debe venir acompañada de una buena selección de pacientes y una progresiva adquisición de experiencia por parte del cirujano. Determinadas intervenciones deberán ser abordadas únicamente en caso de gran experiencia (AU)

Objectives: With the popularisation of laparoscopic radical prostatectomy, the above technique has once again taken on an important role in the work of urology departments. Our extensive experience in laparoscopy means that we are performing increasingly more interventions using this approach. In the context of minimally invasive surgical procedures, this is probably bringing clearer benefits to retroperitoneal surgery than to prostatic surgery. In this article, we describe our series over nearly 4 years. Methods: The period analysed covers June 2004 to March 2008, during which time 288 retroperitoneal operations were performed (184 nephrectomies, 113 other procedures). In the majority of cases, the route of approach was transperitoneal. Results: The mean hospital stay was 3.6 days for the nephrectomies and 3 days for the other procedures. The transfusion rate for the nephrectomies was 5% and there was a conversion rate of in 2%. In the other types of surgery, the transfusion rate was 6% and there were no conversions. Conclusions: The expansion of laparoscopy in Urology has to be accompanied good patient selection and the progressive acquiring of experience on the part of the surgeon. Certain interventions should only be tackled in cases where there is extensive experience (AU)

[Experimental laparoscopic renal autograft as learning laparoscopic model]. / Autotrasplante renal laparoscópico experimental como modelo de aprendizaje de técnica laparoscópica.

INTRODUCTION: Laparoscopic surgery requires a long training period of time in which the complexity of the training is increased. GOALS: The technique presented in this paper has been developed in order to find an experimental model that allows us to improve the learning of the vascular suture. Our main goal was to evaluate this technique as an experimental model for the vacular anastomosis, not to obtain a functional autotransplant. In this regard, here we summarize our experience during the first two cases performed. MATERIAL AND METHODS: Laparoscopic renal autotransplant was perfomed in female lab pigs weighing 15-20 kg. International Experimental Animal Care rules were accomplished. RESULTS: After sacrifizing the animals, only one case of vascular thrombosis was observed. The other cases showed normal arterial and venous flow. CONCLUSIONS: Experimental Renal Laparoscopic autotransplant constitutes a good surgical model. We are trying to implement the technique in the clinics in the next future.

Autotrasplante renal laparoscópico experimental como modelo de aprendizaje de técnica laparoscópica / Experimental laparoscopic renal autograft as learning laparoscopic model

Introducción: La cirugía laparoscópica requiere un largo proceso de aprendizaje en el que se va aumentando progresivamente el grado de complejidad. Objetivo: La técnica aquí presentada se ha realizado buscando un modelo experimental que nos permita realizar sutura vascular laparoscópica, de manera que el objetivo inmediato no es conseguir un autotrasplante funcionante, sino realizar con éxito anastomosis vasculares. Presentamos nuestra experiencia en los dos primeros casos realizados. Material y método: Se realizó el autotrasplante renal laparoscópico en hembras de cerdo de entre 15 y 20 kg. El Servicio de Cirugía Experimental del Hospital Universitario La Paz revisó y aprobó los protocolos del experimento, tal como exigen los Dictámenes Europeos para la protección de los animales utilizados con fines científicos y experimentales (86/609/EEC). Resultados: Al sacrificar a los animales, sólo observamos un caso con trombosis vascular arterial. El resto de animales presentaban buen flujo arterial y venoso. Conclusiones: El autotrasplante renal laparoscópico experimental proporciona un buen modelo para aprendizaje de cirugía laparoscópica. Creemos que aporta recursos laparoscópicos adecuados para cirugía retroperitoneal y pélvica. No proponemos, en el momento actual, su aplicación a la cirugía laparoscópica en humanos

Introduction: Laparoscopic surgery requires a long training period of time in which the complexity of the training is increased. Goals:The technique presented in this paper has been developed in order to find an experimental model that allows us to improve the learning of the vascular suture. Our main goal was to evaluate this technique as an experimental model for the vacular anastomosis, not to obtain a functional autotransplant. In this regard, here we summarize our experience during the first two cases performed. Material and methods: Laparoscopic renal autotransplant was perfomed in female lab pigs weighing 15- 20 kg. International Experimental Animal Care rules were accomplished. Results: After sacrifizing the animals, only one case of vascular thrombosis was observed. The other cases showed normal arterial and venous flow. Conclusions: Experimental Renal Laparoscopic autotransplant constitutes a good surgical model. We are trying to implement the technique in the clinics in the next future

[Laparoscopic nephron sparing surgery. Initial experience]. / Cirugía renal laparoscópica conservadora de parénquima. Experiencia inicial.

We present our initial experience in laparoscopic nephron sparing surgery. It's a technically advanced procedure requiring considerable minimally invasive expertise. This technique is particularly attractive compared to an open conventional procedure with its larger incision and associated morbidity.

Cirugía renal laparoscópica conservadora de parénquima. Experiencia inicial / Laparoscopic nephron sparing surgery. Initial experience

Presentamos nuestra experiencia inicial en cirugía renal laparoscópica conservadora de parénquima. Se trata de una cirugía exigente que requiere de una considerable experiencia en cirugía mínimamente invasiva. Esta técnica es particularmente atractiva comparada con la cirugía clásica abierta, debido a la incisión que precisa esta última y a la morbilidad que conlleva

We present our initial experience in laparoscopic nephron sparing surgery. It´s a technically advanced procedure requiring considerable minimally invasive expertise. This technique is particularly attractive compared to an open conventional procedure with its larger incision and associated morbidity

Suprarrenalectomía abierta y laparoscópica. Revisión de 10 años / Open and laparoscopic adrenalectomy. 10 years review

Presentamos los resultados de la revisión de los 10 últimos años de suprarrenalectomías abiertas realizadas en nuestro Servicio, así como el impacto de la suprarrenalectomía laparoscópica introducida en el último año dentro del programa de cirugía laparoscópica retroperitoneal del Hospital Universitario La Paz. La primera adrenalectomía laparoscópica se realizó tras 21 intervenciones retroperitoneales. La experiencia inicial ha sido lo suficientemente buena como para reducir progresivamente las contraindicaciones y aumentar el número de cirugías realizadas con dicha técnica

We present a 10 years open adrenalectomy review in our Service and the beginning of laparoscopic adrenalectomy in the last year as a part of the retroperitoneal laparoscopic program at the Hospital Universitario La Paz . The first laparoscopic adrenalectomy was done after 21 retroperitoneal laparoscopic surgeries. Our initial experience has been so good that we have reduced the contraindications for this technique and we have increased the number of laparoscopic surgery cases

[Development of a laparoscopic radical prostatectomy program in an university center]. / Implantación de un programa de prostatectomía radical laparoscópica.

The aim of this article is to report our experience in setting up a laparoscopic radical prostatectomy programme. We believe that knowledge of the difficulties we faced at the start will be useful for those who wish to implement a programme like ours. We hope that by explaining the steps we took as well as our conclusions and recommendations this difficult task can be made easier.

Implantación de un programa de prostatectomía radical laparoscópica / Develop of a laparoscopic radical prostatectomy program in an university center

En el deseo de éste artículo, está expresar nuestra experiencia a la hora de poner en práctica un programa de prostatectomía radical laparoscópica. Pensamos que puede ser interesante, de cara a implantar un programa de éste tipo, conocer cuáles fueron nuestras dificultades al inicio. Esperamos que en la medida de lo posible, podamos facilitar ésta difícil tarea, explicando qué pasos hemos seguido y cuáles son nuestras conclusiones y recomendaciones

The aim of this article is to report our experience in setting up a laparoscopic radical prostatectomy programme. We believe that knowledge of the difficulties we faced at the start will be useful for those who wish to implement a programme like ours. We hope that by explaining the steps we took as well as our conclusions and recommendations this difficult task can be made easier

[Open and laparoscopic adrenalectomy. 10 years review]. / Suprarrenalectomía abierta y laparoscópica. Revisión de 10 años.

We present a 10 years open adrenalectomy review in our Service and the beginning of laparoscopic adrenalectomy in the last year as a part of the retroperitoneal laparoscopic program at the Hospital Universitario La Paz . The first laparoscopic adrenalectomy was done after 21 retroperitoneal laparoscopic surgeries. Our initial experience has been so good that we have reduced the contraindications for this technique and we have increased the number of laparoscopic surgery cases.

[Retroperitoneal laparoscopic surgery; initial experience in the Hospital La Paz]. / Cirugía retroperitoneal laparoscópica; experiencia de los 6 primeros meses del Hospital La Paz.

We present the initial results of retroperitoneal laparoscopic surgery in the Hospital Universitario La Paz from July 2004 to December 2004. The program started after 2 years of pelvic laparoscopy surgery practice. The initial experience has been so good that we have reduced the contraindications for this technique and we have increased the number of laparoscopic surgery cases.

Cirugía retroperitoneal laparoscópica; experiencia de los 6 primeros meses del Hospital la Paz / Retroperitoneal laparoscopic surgery; initial experience in the Hospital La Paz

Presentamos los resultados iniciales del programa de cirugía laparoscópica retroperitoneal del Hospital Universitario La Paz desde julio de 2004 hasta diciembre de 2004. El programa se inició tras 2 años de experiencia en cirugía laparoscópica pélvica. La experiencia inicial ha sido lo suficientemente buena como para reducir progresivamente las contraindicaciones y aumentar el número de cirugías realizadas con dicha técnica (AU)

We present the initial results of retroperitoneal laparoscopic surgery in the Hospital Universitario La Paz from july 2004 to december 2004. The program started after 2 years of pelvic laparoscopy surgery practice. The initial experience has been so good that we have reduced the contraindications for this technique and we have increased the number of laparoscopic surgery cases (AU)

[Experimental laparoscopic renal autograft]. / Autotransplante renal laparoscópico experimental.

Laparoscopic surgery requires a long training period of time in which the complexity of the training is increased. The technique presented in this paper has been developed in order to find an experimental model that allows us to improve the learning of the vascular suture. Our main goal was to evaluate this technique as an experimental model for the vascular anastomosis, not to obtain a functional autotransplant. In this regard, here we summarize our experience during the first two cases performed.

Autotransplante renal laparoscópico experimental / Experimental laparoscopic renal autograft

La cirugía laparoscópica requiere un largo proceso de aprendizaje en el que se va aumentando progresivamente el grado de complejidad. La técnica aquí presentada se ha realizado buscando un modelo experimental que nos permita realizar sutura vascular laparoscópica, de manera que el objetivo inmediato no es conseguir un autotransplante funcionante, sino realizar con éxito anastomosis vasculares. Presentamos nuestra experiencia en los dos primeros casos realizados (AU)