English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Zendy Plus

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Zendy Tools

Zendy Open

ResumenAntecedentesLa nefrectomía parcial laparoscópica se encuentra en incremento como una técnica mínimamente invasiva alternativa a la nefrectomía parcial abierta, sobre todo en pacientes con tumores en estadioi.Pacientes y métodosHombre de 49años de edad el cual cuenta con antecedente de litiasis renal bilateral manejado con litotricia extracorpórea, al cual se le encuentra como hallazgo en urotomografía de tumor renal dependiente del polo superior del riñón derecho el cual reforzaba en la fase arterial más de 20unidades Hounsfield de aproximadamente 3×4cm.ResultadosEn la exploración física, abdomen plano blando, con presencia de ruidos peristálticos de características normales, sin dolor a la palpación; no se palpan organomegalias abdominales. Sus exámenes de laboratorio son: Hb 15, Hto 44%, leucocitos 13.2, plaquetas 171, glucosa 120, BUN 8.7, creatinina 1.12, albúmina 4.5, DHL 141, fosfatasa alcalina 103, BT 0.6, BI 0.5, BD 0.1, Tp 13.1, TTp 28.8.Se realiza nefrectomía parcial laparoscópica, encontrándose 2 arterias renales como variante anatómica, tumor renal derecho de 5×4cm dependiente del polo superior, con un tiempo de isquemia caliente de 28min, 200ml de sangrado transoperatorio y 2h de tiempo quirúrgico.AbstractBackgroundLaparoscopic partial nephrectomy (LPN) is on the rise as an alternative minimally invasive technique to open partial nephrectomy (OPN), especially in patients with stage1 tumors.Patient and methodsA 49-year-old man had a past history of bilateral renal lithiasis managed with extracorporeal lithotripsy. Urotomography study identified a renal tumor that was dependent on the upper pole of the right kidney; when enhanced in the arterial phase it was approximately 3×4cm in size with 20Hounsfield units.ResultsPhysical examination revealed a soft, flat abdomen with normal peristaltic noises that was painless upon palpation; no abdominal organomegaly was palpated. Laboratory test results were: Hb 15; Hct 44%; leukocytes 13.2, platelets 171; glucose 120; BUN 8.7; creatinine: 1.12; albumin 4.5; LDH 141; alkaline phosphatase 103; TB 0.6; IB 0.5; DB 0.1; PT 13.1; and PTT 28.8.Laparoscopic partial nephrectomy was performed revealing the anatomic variant of 2 renal arteries, a right 5×4cm renal tumor dependent on the upper pole, warm ischemia time of 28min, 200mL intraoperative blood loss, and surgery duration of 2h

Nefrectomía parcial laparoscópica de tumor renal derecho