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Burgos Revilla" "autores" => array:11 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Sáenz Medina" "email" => array:1 [ 0 => "javiersaenzmedina@yahoo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0030" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "M.S." "apellidos" => "Asuero de Lis" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Villafruela Sanz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "C." "apellidos" => "Correa Gorospe" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "B." 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"apellidos" => "Burgos Revilla" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*****</span>" "identificador" => "aff0025" ] ] ] ] "afiliaciones" => array:6 [ 0 => array:3 [ "entidad" => "Servicio de Urología Hospital de Fuenlabrada" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0030" ] 1 => array:3 [ "entidad" => "Servicio de Anestesiología y Reanimación" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 2 => array:3 [ "entidad" => "Servicio de Nefrología" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 3 => array:3 [ "entidad" => "Unidad de Investigación" "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] 4 => array:3 [ "entidad" => "Servicio de Cirugía" "etiqueta" => "****" "identificador" => "aff0020" ] 5 => array:3 [ "entidad" => "Servicio de Urología. Hospital Ramón y Cajal. Universidad de Alcalá de Henares" "etiqueta" => "*****" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. J. Sáenz Medina Servicio de Urología. Hospital de Fuenlabrada Camino del Molino, s/n – 28942 Fuenlabrada (Madrid) Tel.: 916 006 000" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Immune response during laparoscopic and open living donor nephrectomy. An experimental pig model" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-09-01" "fechaAceptado" => "2007-10-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88576" "palabras" => array:3 [ 0 => "Laparoscopia" 1 => "Nefrectomía" 2 => "Respuesta inmunohumoral" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec88575" "palabras" => array:3 [ 0 => "Laparoscopy" 1 => "Nephrectomy" 2 => "Immune response" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Respuesta inmunohumoral durante la nefrectomía abierta y laparoscópica de donante vivo. Modelo porcino experimental</p> <span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se ha demostrado la menor agresividad quirúrgica provocada por el abordaje laparoscópico, en base a la medición de diversos marcadores de estrés postquirúrgico, entre los que se encuentran distintas interleuquinas (IL) y la proteína C reactiva (PCR). La endotelina 1 (ET-1) es un vasoconstrictor potente producido en el endotelio renal escasamente analizado en el curso de la cirugía laparoscópica. El objetivo del trabajo es analizar comparativamente la respuesta inmunohumoral inducida por las nefrectomías laparoscópica y abierta en un modelo experimental porcino, en base a la cuantificación de la PCR, las IL-2, 10, el factor de necrosis tumoral alfa (TNF alfa), y la ET-1</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se analizan comparativamente dos grupos de cerdos de 25-40 Kg, un grupo CONTROL (N=10) y grupo LAPAROSCÓPICO (N=10), a los que se les realiza una nefrectomía abierta o laparoscópica respectivamente. Se determinó en sangre venosa periférica los niveles de PCR, IL-2, IL-10, TNF α y ET-1. Las determinaciones analíticas se realizaron en los momentos: basal, postcirugía, 1, 3, 5, y 7 días postquirúrgico</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El análisis comparativo de ambos grupos demuestra un aumento estadísticamente significativo de la PCR (1,44+ 0,88 vs 1,32 + 0,14 mg/dl, p=0,046), TNF α (131,14 + 41,37 vs 57,19 + 23,71 pg/ml, p>0,001) y ET-1 (0,91 + 0,49 vs 0,56 + 0,5 fmol/ml, p=0,001) del grupo abierto en comparación con el grupo control, así como una elevación de la IL- 2 en el grupo laparoscópico</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La respuesta inmunohumoral inducida por la nefrectomía abierta es superior a la de la nefrectomía laparoscópica en el curso de la donación. La importancia de este hecho en el síndrome isquemia reperfusión o la functión inmediata del injerto no está claramente establecida</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Immune response during laparoscopic and open living donor nephrectomy. An experimental pig model</p> <span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">It’s been demonstrated laparoscopic access determines a lower surgical stress, by measurement of several markers as different interleuquines (IL) or C- reactive protein (CRP). Endothelin 1 (ET-1) is a powerful vasoconstrictor produced in renal endothelium scarcely studied in laparoscopy. The objective of this study is to analyze immune response during laparoscopic and open donor nephrectomy, in a porcine experimental model by means of measuring IL-2, 10, tumoral necrosis factor α (TNFα), CRP and ET-1</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Twenty pigs underwent left nephrectomy, 10 by laparoscopy and 10 by open approach in an experimental model. Both groups were monitorized IL-2, 10, TNF α, ET-1 at basal, immediately post surgery, first, third, fifth and seventh days after procedure</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The comparative analysis between groups demonstrated a significant increase in levels of CRP (1,44 + 0,88 vs 1,32 + 0,14 mg/dl, p=0,046), TNF α (131,14 + 41,37 vs 57,19 + 23,71 pg/ml, p>0,001) and ET-1 (0,91 + 0,49 vs 0,56 + 0,5 fmol/ml, p=0,001) of open nephrectomy group, as a higher levels of IL-2 in laparoscopic group</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Open donor nephrectomy determines a higher immune response than laparoscopic approach. 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Journal Information
Respuesta inmunohumoral durante la nefrectomía abierta y laparoscópica de donante vivo. Modelo porcino experimental
Immune response during laparoscopic and open living donor nephrectomy. An experimental pig model
J. Sáenz Medinaa,1
, M.S. Asuero de Lis*, J. Villafruela Sanz**, C. Correa Gorospe***, B. Cuevas***, J. Galindo álvarez****, A. Páez Bordaa, A.I. Linares Quevedoa, R. Marcén Letosa*, J. Pascual Santos**, F.J. Burgos Revilla*****
Corresponding author
javiersaenzmedina@yahoo.es
Correspondencia autor: Dr. J. Sáenz Medina Servicio de Urología. Hospital de Fuenlabrada Camino del Molino, s/n – 28942 Fuenlabrada (Madrid) Tel.: 916 006 000
Correspondencia autor: Dr. J. Sáenz Medina Servicio de Urología. Hospital de Fuenlabrada Camino del Molino, s/n – 28942 Fuenlabrada (Madrid) Tel.: 916 006 000