El anfiteatro endovascular / The endovascular amphitheatre

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Kidney removal: the past, presence, and perspectives: a historical review.

More than 140 years have passed since the first documented planned nephrectomy. Throughout all these years, people gained significant knowledge on the renal functions and diseases, and what is more, the surgical workshop underwent considerable improvement. Initially, the kidney removal operations were performed due to ureterovaginal fistulas and renal lithiasis. Later, they were executed mainly in patients with renal tumors, whereas today, the number of these surgeries tend to decrease to the benefit of nephron sparing procedures. Current nephrectomies are more and more often performed in case of organ donation, what will probably remain the most significant indication for the kidney removal in close future. While the first surgeries were executed with classical surgical methods, nowadays, after years of studies concerning nephron sparing and minimally invasive operations, we can see surgeries carried out through natural body orifices with robotic assistance. In relation to simple surgical operation based on ligation of 3 tubular anatomic structures, we can perceive the true scope of the progress that occurred in surgery. The aim of this article is to present the evolution of indications and operating techniques utilized to remove the kidney in chronological aspect.

Algunas notas y breves reflexiones sobre Don Luis Cifuentes Delatte (1907-2005) y su tiempo / Notes and brief thoughts about Dr. Luis Cifuentes Delatte (1907-2005)

En el presente trabajo se ofrece una breve semblanza de don Luis Cifuentes Delatte (1907-2005), y de su actividad profesional y docente desarrollada durante sus últimos años asistenciales en el Servicio de Urología de la Fundación Jiménez Díaz (1979-1987), según la perspectiva y apreciación de su personalidad desde el punto de vista particular y testimonial del autor. Así mismo, se resalta la amistad de don Luis con el filósofo don Xavier Zubiri (1898-1983) y los vínculos culturales con la sociedad intelectual de su tiempo, sus orígenes y trayectoria personal desde una óptica filosófico-humanista orteguiana. Igualmente se resalta la aportación del doctor Cifuentes a la ilustre Academia Nacional de Medicina, Corporación de la que fue miembro numerario (1972-2005), resumiéndose cronológicamente sus intervenciones, así como se exponen brevemente alguno de los, desafortunadamente escasos, recuerdos autobiográficos que el distinguido urólogo se decidió a publicar (AU)

This paper offers a brief biographical sketchof Dr. Luis Cifuentes Delatte (1907-2005) and his professional and educational activities developed in his late years in the Department of Urology at Fundacion Jimenez Diaz (1979-1987), from the perspective , the testimony and particular point of view of the author. In addition, we emphasize the friendship of Dr. Luis Cifuentes with the philosopher Xavier Zubiri (1898-1983) and his cultural links with the intellectual society of his time, his origin and personal trajectory from the Ortega`s philosophical-humanist view. In the same way we emphasize Dr. Luis Cifuentes Delatte`s contribution to the National Academy of Medicine, where he was member (1972-2005), summarizing his lectures; we also briefly show some of the, unfortunately scarce, autobiographical memories the distinguished urologist published (AU)

[My life in urology]. / Mon vécu de l'urologie.

My stay in the Urology Unit of Necker's hospital in my last year of residency in 1960 was a decisive turning point in my career. My training as resident in the urologic department was planned for one half year, however it was extended to five half years of clinicat, after that professor Couvelaire invited me to participate to a competitive exam of professor in urology which held in December 1962. The medical school of Algiers, the only known active institution in Maghreb, planned an appointment of urologic surgeon. The urological department of Mustapha Hospital housed my activities after my success. If urinary lithiasis, prostate adenoma, bladder tumor and urethra stricture constituted the majority of my activity, many other diseases specific to the Maghreb should be mentioned such as fistula between bladder and vaginal arising after obstetrical maneuvers and hydatid cyst of the kidney. The idea of organizing a medical maghreb was born in Algiers. In 1964, Mrs Ben Allègue. Mr Moulay Ahmed Mérioua, our lamented surgeon Béchir Mantouri and me took our pilgrim stick, went to Casablanca and Tunis to invite our colleagues of the Maghreb to organize medical meetings. The first medical days of Maghreb were held at Casablanca in May 1965. Nine years later, the first Medical Congress of Maghreb was born. I left Algiers and went to Tunis in 1972. At the mean time and since 1967, I had organized a teaching of urological diseases destined for the first generations of registered students in the medical school of Tunis. I had a new appointment, as head department of urology, in Charles Nicolle's hospital eight yezar after decisive of president Habib Bourguiba. The main reason of my travel to Tunis was the invitation of the late lamented Doctor Zouhair Essafi, one of the pioneers of Tunisian modern surgery. Several new techniques were introduced in Tunisia recently such as "l'urodynamique", interventional endoscopy and kidney transplantation. On June the 6th, 1986 the first kidney transplantation was performed, and during three years I performed 60 kidney transplantations. This event provided enthusiasm of young physicians and surgeons who were avid for novelty in the field of transplantation.

George Berci: past, present, and future.

Dr. George Berci's contributions to the art and science of endoscopy and laparoscopy have continued unabated for nearly half a century. Fundamental advances in optics, illumination, television application, instrumentation, and operative radiology were either fostered or initiated by him, culminating in the advanced state of the technology as it is known today. As a creative force and catalytic influence, he has been a true pioneer.

Cirugía videoendoscópica una década en Guatemala / Videoendoscopic surgery in Guatemala after ten years

El concepto de la Cirugía Videoendoscópica llega al l mundo para quedarse y en Guatemala fue igualmente aceptado, ya han pasado 10 y es conveniente que se mire hacia atrás para ver que hemos hecho en nuestro país y compararlo con el resto del mundo. Mundialmente se ha escrito mucho al respecto, se han formado Sociedades muy importantes, se ha llegado a consensos y se han escrito protocolos. En Guatemala, hemos logrado introducir esta técnica quirúrgica a los programas de entrenamiento para cirujanos y se ha logrado a nivel privado que se formen grupos con experiencias específicas, especialmente en procedimientos de Cirugía Videoendoscópica avanzados, a la fecha se han publicado 33 artículos de autores guatemaltecos de los cuales 20 corresponden a artículos originales; tenemos representación en la Asociación Mexicana de Cirugía Endoscópica (AMCE) y en la Asociación Latinoamericana de Cirugía Endoscópica (ALACE)