Jose M. Cabello

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BACKGROUND Robotic partial nephrectomy (RPN) is emerging as an alternative to traditional laparoscopic partial nephrectomy (LPN). Despite the potential advantages of the robotic approach, renorrhaphy remains a challenging portion of the procedure. OBJECTIVE To present our technique and outcomes for RPN, including sliding-clip renorrhaphy. DESIGN,(More)
INTRODUCTION Laparoscopic partial nephrectomy has emerged as a standard of care for small renal masses. Nevertheless, there remains concern over the potential for irreversible insult to the kidney as a result of exposure to warm ischemia. We aim to investigate the utility of selective segmental arterial clamping as a means to reduce the potential for(More)
PURPOSE The learning curve for robot-assisted partial nephrectomy (RAPN) has not been extensively studied. We therefore evaluated the learning curve of RAPN for a fellowship-trained laparoscopic surgeon with extensive prior experience with laparoscopic partial nephrectomy (LPN). We also examined the potential effect of tumor size on the learning curve. (More)
INTRODUCTION For the treatment of renal tumors, minimally invasive nephron-sparing surgery has become increasingly performed due to proven efficiency and excellent functional and oncological outcomes. The introduction of robotics into urologic laparoscopic surgery has allowed surgeons to perform challenging procedures in a reliable and reproducible manner.(More)
OBJECTIVE Recently, our institution refined a technique for robot-assisted renorrhaphy utilizing sliding Weck Hem-O-Lock clips, which are tightened by the surgeon seated at the console and locked into place with a LapraTy clip. In addition to the relative ease of implementation, we believe that our technique also provides a superior strength of closure over(More)
The reference point-based methods form one of the most widely used class of interactive procedures for multiobjective programming problems. The achievement scalarizing functions used to determine the solutions at each iteration usually include weights. In this paper, we have analysed nine weighting schemes from the preferential point of view, that is,(More)
Genetic algorithms (GAs) have been argued to constitute a flexible search thereby enabling to solve difficult problems which classical optimization methodologies may find hard to solve. This paper is intended towards this direction and show a systematic application of a GA and its modification to solve a real-world optimization problem of sizing a solar(More)
Proper camera and trocar placement is critical to the success of minimally invasive procedures. For robot-assisted renal surgery, two basic trocar configurations have been described. The medial approach, using a 30° downward-angled lens mimics a traditional transperitoneal laparoscopic configuration. An alternative configuration, using a 0° or 30°(More)
Nowadays, tourism has become a very important industry in the international economy. Information and communication technologies are in constant development; they progress worldwide and across sectors. Their applications in tourism and tourist resources is rapidly increasing, reaching new, innovative and sometimes amazing results in terms of effectiveness,(More)