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Search Results: 1 - 10 of 15589 matches for " Manuel; Cansino Alcaide "
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Nefroureterectomía laparoscópica: nueva posición para el manejo ureteral
Aguilera Bazán,Alfredo; Alonso y Gregorio,Sergio; Pérez Utrilla,Manuel; Cansino Alcaide,Ramón; Cisneros Ledo,Jesús; Pe?a,Javier de la;
Archivos Espa?oles de Urología (Ed. impresa) , 2007, DOI: 10.4321/S0004-06142007000600009
Abstract: objectives: the main challenge of laparoscopic nephroureterectomy is the management of distal ureter, which also will have an important repercussion in the oncological outcome of many cases. we present our experience in such aspect, considering that we performed the last five laparoscopic nephroureterectomies in forced trendelemburg position, resulting in a more comfortable and safe management of the distal ureter. methods: between august and december 2006 we performed five purely laparoscopic nephroureterectomies with bladder cuff positioning the patient in forced trendelemburg, a position similar to that of laparoscopic radical cystectomy or prostatectomy. results: mean surgical time was 182 minutes (170-210). mean blood loss was 100 cc and no patient required transfusion. mean hospital stay was four days. conclusions: we believe this position is a good alternative for the management of the distal ureter during the laparoscopic approach. the technique is very similar to open surgery, which continues being the gold standard today.
Neurofibroma de la vejiga: caso clínico y revisión de la literatura
Cabrera Castillo,Pedro Manuel; Alonso y Gregorio,Sergio; Cansino Alcaide,José Ramón; Aguilera Basan,Alfredo; Pe?a Barthel,Javier Jesús De La;
Archivos Espa?oles de Urología (Ed. impresa) , 2006, DOI: 10.4321/S0004-06142006000900008
Abstract: objetive: the prevalence of the disease is 1/3000 newborns; it is more frequent in men than in women with a 3:1 ratio in all races. genitourinary tract neurofibromas usually arise from the pelvic and bladder nerves, and the prostatic plexus. bladder is the most frequently affected organ of the urinary tract; bladder neurofibromatosis may present as a diffuse infiltrative process or an isolated neurofibroma. bladder neurofibromas arise from nervous ganglia of the bladder wall and stain positive for protein s-100 and type iv collagen with immunohistochemical techniques. methods: we performed a bibliographic review about urinary tract neurofibromas, and specifically of bladder neurofibroma. we report the case of a 45-year-old female consulting for voiding symptoms and recurrent urinary tract infections. imaging tests showed a mass in the left lateral wall of the bladder and diffuse thickening of the bladder wall. the thickening of the bladder wall is the most characteristic finding in imaging tests, which may also be present in other diseases such as inflammatory pseudotumor and leiomyoma, so that final diagnosis should be achieved by pathologic study. results: the case is relevant for the absence of previous diagnosis of neurofibromatosis, being bladder involvement its clinical debut. this is why it was difficult to suspect the final diagnosis: the absence of other characteristic clinical manifestations of the disease. transurethral resection of the tumor was performed and pathologic and immunohistochemical studies offered the final diagnosis. the patient was followed in the urology clinic and also sent to the internal medicine department to rule out other organs involvement of the disease. conclusions: neurofibromatosis is a rare systemic disease, and urinary tract involvement is rarer. bladder is the most frequently involved organ in the urinary tract, generally as a diffuse infiltration or more rarely a solitary tumor. the final diagnosis is pathological and immuno
Feocromocitoma: Tratamiento laparoscópico
Cabrera Castillo,Pedro Manuel; Aguilera Bazán,Alfredo; Cansino Alcaide,José Ramón; álvarez Maestro,Mario; Pe?a Barthel,Javier Jesús De la;
Archivos Espa?oles de Urología (Ed. impresa) , 2007, DOI: 10.4321/S0004-06142007000900015
Abstract: objective: we report this clinical case not only for the laparoscopic approach of a pheochromocytoma but also because of its particular aggressiveness and oddity of its clinical presentation. methods: 44 years old male presenting with oppressive chest pain with accompanying vegetative symptoms, who was diagnosed of right adrenal pheochromocytoma. results: after the diagnosis of pheochromocytoma was established and double adrenergic blockage implemented, transperitoneal laparoscopic surgery was performed. pathological analysis of the surgical specimen confirmed the clinical diagnosis of pheochromocytoma. patient was discharged home two days after surgery without any complication. conclusions: the laparoscopic approach of adrenal pheochromocytoma is possible and safe in centres with laparoscopic experience, obtaining the same results than open surgery, offering advantages for the patient such as less pain, smaller incisions, and early ambulation, which results in a shorter hospital stay.
Implante de balones parauretrales como tratamiento de la incontinencia urinaria masculina: Experiencia del Hospital Universitario La Paz
Cansino Alcaide,José Ramón; álvarez Maestro,Mario; Martín Hernández,Mario; Cabrera Castillo,Pedro Manuel; Pérez-Utrilla Pérez,Manuel; Rodríguez de Bethencourt,Fermín; Hidalgo Togores,Luís; Pe?a Barthel,Jesús Javier De la;
Archivos Espa?oles de Urología (Ed. impresa) , 2007, DOI: 10.4321/S0004-06142007000600005
Abstract: objectives: we want to show our experience with paraurethral balloon implantation in the treatment of male urinary incontinence. methods: we retrospectively reviewed our series from march 2003 to march 2007, including 69 male patients with urinary incontinence, most of them after radical prostatectomy. results: 6 patients did not have their first follow-up visit after surgery. mean follow-up was 22 months (3-48). 57.14% of the patients (36/63 do not need pads, and 12.69% use one safety pad (8/63); therefore 69.83% (44/63) of the patients are dry or use one safety pad. if we stratify patients by incontinence severity, 81.25% of the patients with mild incontinence and 59.25% with moderate incontinence are dry. nevertheless, only 35% of the patients with severe incontinence are dry (no protection). conclusions: in our experience, we believe that paraurethral balloon implantation could be the first therapeutic option for mild and moderate male urinary incontinence.
Antígeno prostático-específico, citoquinas pro-inflamatorias y patología prostática (Hiperplasia benigna y Cáncer): Relación con la malignidad
Cansino Alcaide,José Ramón; Vera San Martín,Raúl; Rodríguez de Bethencourt Codes,Fermín; Bouraoui,Yosra; Rodríguez Berriguete,Gonzalo; Oueslati,Ridha; Pérez-Utrilla,Manuel; Pe?a Barthel,Javier De la; Paniagua Gómez-álvarez,Ricardo; Royuela García,Mar;
Archivos Espa?oles de Urología (Ed. impresa) , 2009, DOI: 10.4321/S0004-06142009000500005
Abstract: objectives: cancer is a complex process in which cytokines play an important role. cytokines are low-molecular weight soluble proteins involved in cellular transmission signals and several disorders. pro-inflammatory cytokines (il-1, tnf-a and il-6) are involved in prostate cancer development. the aim of this study was to relate the expression (analyzed by western blot and immuno-histochemistry) of several pro-inflammatory cytokines (il-1, tnf-a and il-6) with serum levels of prostate-specific antigen (psa) in normal (no pathological samples) as pathological samples (hyperplasia and cancer), in order to elucidate their possible role in tumor progression. we are also discussing the possible use of these cytokines as a potential therapeutic target. methods: this study was carried out in 5 normal, 25 benign prostatic hyperplastic (bph) and 17 prostate cancer (pc) human prostates. immunohistochemical and western blot analysis were performed. serum levels of psa were assayed by a psa dpc immulite assays (diagnostics products corporation, los angeles, ca) results: in bph, il-1a, il-6 and tnf-a were only expressed in patients with psa serum levels of 0-4 ng/ml or 4-20 ng/ml, but not in the group >20 ng/ml. in pc these cytokines were only expressed in patients with psa serum levels >4 ng/ml, although the expression of these cytokines was elevated when psa levels were >20 ng/ml. conclusions: in pc there might be an association between high expression of pro-inflammatory cytokines (il-1, tnfa and il-6), elevated serum levels of psa and cancer progression. a better understanding of the biologic mechanism of this association may improve the finding of new targets for therapy in these patients.
Evaluación del impacto de un programa de formación sobre el tiempo de búsqueda de un empleo
José Manuel Cansino Mu?oz,Antonio Sánchez Braza
Investigaciones Regionales , 2011,
Abstract: Este artículo estima el efecto promedio del Programa de EscuelasTaller y Casas de Oficios sobre el periodo necesario para encontrar un empleo. Sehan utilizado tres estimadores: el de ponderación sobre la probabilidad condicionalde participación, el estimador bietápico de Heckman y el estimador de emparejamiento.Para los participantes en el programa, el número de días hasta encontrar un empleose reduce en 471, 446 y 467, respectivamente, dependiendo del estimador utilizado.Se encuentra evidencia consistente acerca de que el programa reduce el tiemponecesario para encontrar un empleo.
Enterocistoplastia de ampliación laparoscópica: experiencia inicial
Nú?ez Mora,C.; Cansino Alcaide,R.; Alonso Gregorio,S.; Martínez-Pi?eiro Lorenzo,L.; De la Pe?a Barthel,J.;
Actas Urológicas Espa?olas , 2007, DOI: 10.4321/S0210-48062007000100004
Abstract: objective: to analyze the initial experience of our group in the realization of the augmentation enterocystoplasty by laparoscopyc approach. methods and patients: we describe the augmentation enterocystoplasty technique with ileal segment completely achieved by laparoscopyc approach. we present the cases of two patients suffering from hyperreflexic bladder refractory to medical treatment who underwent this surgery. in both cases the technique was realized without intraoperative complications although it was needed a surgical time of 6 and 4,5 hours respectively. the results after 12 and 5 months were satisfactory in both patients, obtaining a low pressure bladder with a good continence. conclusions: laparoscopyc augmentation enterocystoplasty is a complicated technique that requires a great experience, mainly in laparoscopyc suture. it reproduces completely the open surgery and it offers all the advantages inherent to the laparoscopyc surgery.
Suprarrenalectomía abierta y laparoscópica: Revisión de 10 a?os
Aguilera Bazán,A.; Pérez Utrilla,M.; Alonso y Gregorio,S.; Cansino Alcaide,R.; Cisneros Ledo,J.; Pe?a Barthel,J. De la;
Actas Urológicas Espa?olas , 2006, DOI: 10.4321/S0210-48062006001000009
Abstract: 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.
Cirugía retroperitoneal laparoscópica: experiencia de los 6 primeros meses del Hospital La Paz
Aguilera Bazán,A.; Alonso y Gregorio,S.; Cansino Alcaide,R.; Hidalgo Togores,L.; Cisneros Ledo,J.; Pe?a Barthel,J. de la;
Actas Urológicas Espa?olas , 2005, DOI: 10.4321/S0210-48062005000700004
Abstract: 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.
Tumor fibroso solitario de la próstata
Pacios Cantero,J.C.; Alonso Dorrego,J.Ma; Cansino Alcaide,J.R.; Pe?a Barthel,J.J. de la;
Actas Urológicas Espa?olas , 2005, DOI: 10.4321/S0210-48062005001000013
Abstract: we report a new case of a solitary fibrous tumor. it is a tumor which involve to genitourinary system unusual time, and it is exceptional in the prostate. our patient began with bladder compression symptoms. radiological studies showed polilobed mass that moved out the bladder although the could not show the pelvic organ was involved. the definitive diagnosis was made by histology and inmunohistochemestry of the surgical piece.
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