Comentario a: «Nefrectomía laparoscópica en niños»

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Actas Urológicas Españolas. 2011;35(4):200 ACTAS

Actas Urológicas Españolas

Revista Oficial de la AEU y de la CAU

ACTAS

Urológicas Españolas Volumen 35. Número 1.

Enero 2011. Nicturia y caídas en ancianos Criterios y exactitud de la biopsia de próstata PSA y NF-kB en próstata Linfadenectomía retroperitoneal laparoscópica Ureteroneocistostomía laparoscópica Enucleación prostática con láser diodo Retrasplante renal Ureterocalicostomia Ureterolitotomía transumbilical

Edición electrónica: Free Full Text Español/Inglés

Ácido hialurónico intravesical Sunitinib y cáncer de próstata

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EDITORIAL COMMENT

Comment to: “Laparoscopic nephrectomy in children” Comentario a: «Nefrectomía laparoscópica en niños» J. Rubio Briones Servicio Urología, IVO, Valencia, Spain

I, the undersigned writing this editorial comment, consider myself to be a representative of that large percentage of urologists that deals with Pediatric Urology in our daily routine. For this reason, I appreciate the effort of the authors who have presented us with their experience with 72 pediatric patients in laparoscopic renal surgery.1 Fortunately, we have overcome the era when we had to demonstrate the advantages of laparoscopic renal surgery versus open surgery. In this tedious period, Dr. Octavio Castillo was one of the main instigators in our field. It is gratifying to see how he still continues to spread the benefits of this approach in age groups or in less frequent pathologies.2 If an adult laparoscopist has read the article, he should have not doubt about the approach to take in the case of a child. The authors demonstrate with the simplicity of those that are confident of and do their work well, very few tactical and material changes with respect to the technique in adults. Let us follow their example and not lose in the treatment of urological diseases par excellence against pediatric surgeons. Le us support the dissemination of laparoscopy

also in children and not only in high retroperitoneal, but also pelvic and reconstructive surgery,3 without contempt or disdain for complementary or alternative open surgery that is well done. At those centers where there are no pediatric urologists, but yes, expert laparoscopists, the problem is solved. If otherwise, to send the child to a center of excellence will cover the dual objective of providing him with better attention and keeping intruders out of our specialization.

References 1. Castillo OA, Foneron Villarroel A, López-Fontana G, Bolufer E, Rodríguez-Carlin A. Nefrectomía laparoscópica en niños. Actas Urol Esp. 2011; 35:195-9. 2. Castillo OA, Litvak JP, Karkebe M, Olivares R, Urena R. Case report: laparoscopic management of massive chylous ascites after salvage laparoscopic retroperitoneal lymph-node dissection. J Endourol. 2006; 20:394-6. 3. Traxel EJ, Minevich EA, Noh PH. A review: the application of minimally invasive surgery to pediatric urology: lower urinary tract reconstructive procedures. Urology. 2010; 76:115-21.

E-mail: [email protected] 0210-4806/$ - see front matter © 2011 AEU. Published by Elsevier España, S.L. All rights reserved.

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