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Background. Although laparoscopic donor nephrectomy (LDN) represents the gold-standard technique for kidney living donation, robotic donor nephrectomy (RDN) settled as another appealing minimally invasive technique over the past decades. A comparison between LDN and RDN outcomes was performed. Methods. RDN and LDN outcomes were compared, focusing on operative time and perioperative risk factors affecting surgery duration. Learning curves for both techniques were compared through spline regression and cumulative sum models. Results. The study analyzed 512 procedures (154 RDN and 358 LDN procedures) performed between 2010 and 2021 in 2 different high-volume transplant centers. The RDN group presented a higher prevalence of arterial variations (36.2 versus 22.4%; P = 0.001) compared with the LDN cohort. No open conversions occurred; operative time (210 versus 195 min; P = 0.011) and warm ischemia time (WIT; 230 versus 180 s; P < 0.001) were longer in RDN. Postoperative complication rate was similar (8.4% versus 11.5%; P = 0.49); the RDN group showed shorter hospital stay (4 versus 5 d; P < 0.001). Spline regression models depicted a faster learning curve in the RDN group (P = 0.0002). Accordingly, cumulative sum analysis highlighted a turning point after about 50 procedures among the RDN cohort and after about 100 procedures among the LDN group. Higher body mass index resulted as an independent risk factor for longer operative time for both techniques; multiple arteries significantly prolonged operative time in LDN, whereas RDN was longer in right kidney procurements; both procedures were equally shortened by growing surgical experience. Conclusions. RDN grants a faster learning curve and improves multiple vessel handling. Incidence of postoperative complications was low for both techniques.

Background- Chronic kidney disease (CKD) and replacement therapies (dialysis or transplantation) increase the risk of native kidneys cancer. Acquired multicystic kidney disease in dialysis patients and immunosuppressive therapy in transplant recipients might be relevant factors for the development of renal cancer. International guidelines do not clearly recommend specific screening protocols for these categories of patients, although the early diagnosis could lead to an excellent prognosis. Objectives- To retrospectively analyze the cases of renal neoplasms of the native kidneys in chronic renal failure patients and renal transplant recipients that underwent nephrectomy at the Kidney and Pancreas Transplant Center at Hospital-University of Padua. The histological type of the tumor, grading, stage at diagnosis and prognosis of these patients were evaluated and compared with the data reported in the literature in uremic patients and in the general population. In the prospective phase of the study: the histopathological analysis and the flow cytometry of the kidneys have been addressed to study the expression of costimulatory molecules at the level of renal epithelial cells, to determine their function as non-professional APC (Antigen Presenting Cell). The activation status of intraepitelial lymphocyte population have been evaluated. Methods- From April 2007 to June 2013, 18 patients with chronic kidney disease (CKD) and/or kidney transplant recipients underwent nephrectomy because of renal tumor at the Kidney and Pancreas Transplant Center at Hospital-University of Padua. Were analyzed: the cause of the CKD, the type of replacement therapy, the timing of kidney transplantation, immunosuppressive therapy, the histological type of the tumor, the Fuhrman grade, and patient outcomes. Thereafter, between December 2014 and December 2015, 16 patients (5F/11M). were enrolled in the study. Indications for nephrectomy were: polycystic disease (APKD) 13 patients, suspected malig

[EN] The palace was a monumental building with two towers on the front, a central courtyard, a ground floor with utilitarian function and a luxury upper floor with an aristocratic and representative character and an extraordinary architectural decoration. The building was used a short time, less than a century, because a great fire caused its collapse and destruction of the building. After a lot of historical, archaeological and architectural dimension studies, there is a new interpretation of the palatine building. For the 3-D modelling of the palace, we use a data collection with a laser-scanner, and the plans from the excavation and the architectural modulation previously elaborated. The conclusions of the multidisciplinary work from the reconstruction have been used extensively in archaeological publications and, especially in the didactic information for the new Visigoth Museum and other touristic activities. There's also a 3-D printed model of the reconstruction., [ES] Fue un edificio monumental con dos torres en fachada, patio central, planta baja con función utilitaria, planta superior lujosa con carácter señorial y extraordinaria decoración arquitectónica. Duró poco tiempo, menos de un siglo. Se derrumbó y destruyó por un gran incendio. Tras una serie de estudios históricos, arqueológicos y de modulación arquitectónica, se ha propuesto una nueva interpretación del conjunto. Para el alzamiento infográfico se empezó por un nuevo levantamiento en escáner –laser, sobre el que se levantó la reconstrucción previamente preparada tras el estudio de la planimetría de la excavación y de la modulación arquitectónica. El resultado del trabajo multidisciplinar de la reconstrucción se ha usado profusamente en publicaciones científicas arqueológicas y, especialmente, en la información didáctica del nuevo museo visigodo y en otras actividades de difusión turística. También ha servido para realizar una maqueta con una impresora 3D.

El sector de la construcció ha estat les darreres dècades, clau per a l’economia espanyola. Això ha representat una forta ocupació laboral i en conseqüència un creixement en les ofertes educatives relacionades amb la construcció. És aproximadament a partir de l’any 2007, com a conseqüència de la crisi econòmica internacional i de l’explosió de la bombolla immobiliària, que es comença a registrar un fort descens en l’obra de construcció, a dia d’avui tant minvada, i sorgeix la necessitat de reorientar l’exercici constructiu i l’ensenyament del mateix cap a altres camps alternatius a l’obra de nova edificació, que clarament està perdent protagonisme . Sembla que la tendència en el sector de la construcció a Europa és la de potenciar les obres de reforma y rehabilitació, doncs és una resposta necessària a la situació econòmica, social i mediambiental del sectors de l’edificació que, han de tendir a un desenvolupament més sostenible de les ciutats. A Espanya aquesta activitat suposa només el 20% de la construcció, mentre que a la UE és del 43%, a Alemanya del 62% i a Dinamarca del 80% Se suma a aquesta tendència l’actual parc d’habitatges buits a Espanya, el creixent número d’equipaments en desús que cal però mantenir i l’entrada en vigor de noves normatives aprovades amb posterioritat al inici de la crisi immobiliària, que persegueixen potenciar les obres de rehabilitació i rehabilitació energètica. El cicle “Projectes d’edificació” es caracteritza actualment per una molt baixa matrícula deguda en gran part a l’actual crisi i probablement a que els continguts d’aquest cicle segueixen enfocant-se única i exclusivament a l’obra d’edificació de nova planta. L’objectiu d’aquest TFM és adaptar el currículum del cicle “Projectes d’Edificació” a les noves necessitats del sector de la construcció, ampliant les competències que ofereix amb les pròpies de la rehabilitació, actualment inexistents, mitjançant l’estudi de viabilitat i proposta de creació del nou mòdul “Diagnosi, re