<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852024000400004</article-id>
<article-id pub-id-type="doi">10.48193/4s2h3424</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Complete laparoscopic management of locally recurrent renal cell carcinoma after radical nephrectomy]]></article-title>
<article-title xml:lang="es"><![CDATA[Tratamiento laparoscópico completo de carcinoma de células renales localmente recurrente después de una nefrectomía radical]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Candia]]></surname>
<given-names><![CDATA[Gastón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camean]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jaunarena]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chemi]]></surname>
<given-names><![CDATA[Joaquin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villalba Bachur]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villoldo]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Alexander Fleming  ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2024</year>
</pub-date>
<volume>84</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852024000400004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852024000400004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852024000400004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  Description of the laparoscopic approach for local recurrence of renal cell carcinoma after radical nephrectomy and oncological outcomes.  Study design:  A retrospective cohort analysis.  Materials and methods:  A retrospective cohort analysis included patients who underwent laparoscopic resection for RCC recurrence at XXX. The laparoscopic technique utilized either transabdominal or retroperitoneal approaches. The primary outcome measure was disease-free survival. Secondary outcome measures included operative time, estimated blood loss, and complications.  Results:  Thirteen patients underwent laparoscopic resection, with a mean operative time of 189 minutes and low complication rates. Pathological reports confirmed clear-cell RCC in the majority of cases. The median time to recurrence post-nephrectomy was 67 months, with a 3-year disease-free survival rate of 85%. All patients had negative margins, and at the last follow-up all patients were alive.  Limitations:  The limitations of this study include its small sample size and retrospective design.  Value:  The full laparoscopic approach for patients with local recurrence of renal cell carcinoma.  Conclusion:  Laparoscopic resection of locally recurrent RCC post-radical nephrectomy appears to be safe and effective, demonstrating promising oncological outcomes. Larger prospective studies are warranted to validate these findings and establish standardized guidelines for widespread implementation.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Descripción del abordaje laparoscópico para la recurrencia local del carcinoma de células renales después de la nefrectomía radical y resultados oncológicos.  Diseño del estudio:  Análisis de cohorte retrospectivo.  Materiales y métodos:  Análisis de cohorte retrospectivo que incluyó pacientes que se sometieron a resección laparoscópica por recurrencia de carcinoma renal de células claras en XXX. La técnica laparoscópica utilizó abordajes transabdominales o retroperitoneales. La medida principal que se revise de los resultados fue la supervivencia libre de enfermedad. Las medida secundarias incluyeron tiempo operatorio, pérdida de sangre estimada y complicaciones.  Resultados:  Trece pacientes se sometieron a resección laparoscópica, con un tiempo operatorio medio de 189 minutos y bajas tasas de complicación. Los informes patológicos confirmaron carcinoma renal de células claras en la mayoría de los casos. El tiempo medio hasta la recurrencia después de la nefrectomía fue de 67 meses, con una tasa de supervivencia libre de enfermedad a 3 años del 85 %. Todos los pacientes tenían márgenes negativos y en el último seguimiento todos los pacientes estaban vivos.  Limitaciones:  Las limitaciones de este estudio incluyen el tamaño de la muestra y el diseño retrospectivo.  Valor:  El abordaje laparoscópico completo para pacientes con recurrencia local del carcinoma de células renales.  Conclusión:  La resección laparoscópica del carcinoma renal de células claras recurrente localmente después de una nefrectomía radical parece ser segura y efectiva, demostrando resultados oncológicos prometedores. Se requieren estudios prospectivos más amplios para validar estos hallazgos y establecer directrices estandarizadas para su implementación generalizada.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[local recurrence of renal cell carcinoma]]></kwd>
<kwd lng="en"><![CDATA[full laparoscopic approach]]></kwd>
<kwd lng="en"><![CDATA[oncological outcomes and disease free survival]]></kwd>
<kwd lng="es"><![CDATA[recurrencia local del carcinoma de células renales]]></kwd>
<kwd lng="es"><![CDATA[abordaje laparoscópico completo]]></kwd>
<kwd lng="es"><![CDATA[resultados oncológicos y supervivencia libre de enfermedad]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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