Biomedical subjects

Carlos Escalera Almendros

Publications and source records attributed to Carlos Escalera Almendros.

5 recordsLinked to original sources

PubMed2006

[Laparoscopic pyelolithotomy].

The application of laparoscopy as a surgical technique in Urology has enabled to expand the therapeutic options for various pathologies. The treatment of urinary lithiasis localized in the renal pelvis is one of them. We report a laparoscopic pyelolithotomy, describing the operation step-by-step, from patient positioning and trochar insertion to drainage tube insertion and closure. The objective of this article is to show the technique, presenting it as an alternative option.

Humans↗

PubMed2006

[Post chemotherapy laparoscopic retroperitoneal lymph node dissection].

OBJECTIVES: To describe the laparoscopic excision of a postchemotherapy retroperitoneal residual mass in a patient with mixed germ cell testicular tumor. METHODS/RESULTS: We report the operative technique of laparoscopic excision of a retroperitoneal mass in a 33 year old patient with mixed germ cell testicular tumor. The patient is placed in a lateral decubitus right lumbotomy position and trocars are introduced into the abdominal cavity. Once the retroperitoneum is approached, and after a Kocher manoeuvre of the duodenum, the interaortocaval mass is identified and excised. The operation is completed with lympadenectomy down to the common iliac artery bifurcation bilaterally. CONCLUSION: The laparoscopic approach is another option for the surgical treatment of residual masses after chemotherapy in testicular tumors. Nevertheless, previous laparoscopic experience is necessary due to its difficulty.

Adult↗

PubMed2005

[Transperitoneal laparoscopic radical prostatectomy].

Summary.reaching widespread diffusion in the urological community but intensive training is necessary to achieve an optimal level of skill to perform them. We report the transperitoneal laparoscopic radical prostatectomy surgical technique step-by-step.

Humans↗

PubMed2005

[Renal carcinoma and ipsilateral pheochromocytoma].

OBJECTIVES: To report one case of associated renal cancer and ipsilateral pheochromocytoma treated by laparoscopic surgery METHODS: We describe the case of a 67-year-old female presenting with left lumbar pain and recurrent urinary tract infections. Ultrasound and abdominal CT scan were performed revealing renal carcinoma and ipsilateral adrenal mass, which was confirmed by MRI. With the diagnosis of left renal carcinoma and possible adrenal metastasis, laparoscopic left nephrectomy and adrenalectomy were performed. RESULTS: Pathologic study of the specimen reported a chromophobic renal cell carcinoma and adrenal pheochromocytoma. CONCLUSIONS: The association of renal carcinoma and pheochromocytoma is unfrequent, as suggested by the limited available bibliography on the topic. The presence of an adrenal mass in a patient with history of primary tumor is frequently secondary to metastasic disease, although primary adrenal neoplasia should not be discarded.

Aged↗

PubMedDate not supplied

[Right transperitoneal laparoscopic nephroureterectomy].

OBJECTIVES: To describe the surgical technique of the right laparoscopic nephroureterectomy. METHODS/RESULTS: With the patient in the lithotomy position we performed an endoscopic section of the ureteral meatus. Once the patient is placed in the lumbotomy position and trocars are placed, the retroperitoneal space is accessed. The gonadal vein, and the ureter medial to it, are identified. We proceed to dissect and clip it. Posteriorly, the Kocher maneuver on the duodenum is performed, identifying the inferior vena cava. We dissect the renal artery and vein placing Hemolock clips on both. Once the vascular control is achieved, we free the upper pole with the help of the Ligasure Atlas instrument. When the kidney is free we continue with the ureter down. CONCLUSIONS: Laparoscopic nephroureterectomy is a feasible technique for groups with experience in laparoscopic surgery.

Humans↗