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首页> 外文期刊>Urology >Analysis of impact of body mass index on outcomes of laparoscopic renal surgery.
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Analysis of impact of body mass index on outcomes of laparoscopic renal surgery.

机译：体重指数对腹腔镜肾脏手术结局的影响分析。

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OBJECTIVES: As the prevalence of obesity increases in the United States, it has become more important to assess its impact on surgical outcomes. We evaluated the significance of obesity on laparoscopic radical nephrectomy (LRN) and laparoscopic partial nephrectomy (LPN). METHODS: This was a prospective database study evaluating patients who underwent either LRN or LPN from October 2002 to January 2006. Patients were divided into five groups as determined by the World Health Organization body mass index (BMI) classification: less than 25.0, 25.0 to 29.9, 30.0 to 34.9, 35.0 to 39.9, and 40.0 kg/m2 or more. Demographic (age, tumor size, American Society for Anesthesiologists score), operative (estimated blood loss, operative time, open conversion), and postoperative (complications, hospital stay, margin status) data were compared. RESULTS: Of 239 patients who had undergone LRN or LPN during the study period, 146 underwent LRN and 85 underwent LPN. Of the 239 patients, 42% were obese. No statistical significance was determined for estimated blood loss, operative time, hospital stay, number of open conversions, or complications. However, a trend toward increased operative time and intraoperative complications was determined using linear and logistic regression analyses. CONCLUSIONS: Laparoscopic renal surgery is safe in overweight and obese patients and may be the surgical management of choice in this subset of patients. However, obese patients should be warned that their degree of obesity may be associated with increased difficulty of surgery as reflected by a trend toward longer operative times and more intraoperative complications.
机译：目的：随着肥胖在美国的患病率上升，评估其对手术结局的影响变得越来越重要。我们评估了肥胖对腹腔镜根治性肾切除术（LRN）和腹腔镜部分肾切除术（LPN）的意义。方法：这是一项前瞻性数据库研究，评估了2002年10月至2006年1月接受LRN或LPN的患者。根据世界卫生组织的体重指数（BMI）分类，将患者分为5组：低于25.0，低于25.0 29.9、30.0至34.9、35.0至39.9和40.0 kg / m2以上。比较了人口统计学（年龄，肿瘤大小，美国麻醉医师学会评分），手术（估计失血量，手术时间，开放转换）和术后（并发症，住院时间，切缘状况）数据。结果：在研究期间接受过LRN或LPN的239例患者中，有146例接受了LRN，85例接受了LPN。在239名患者中，有42％肥胖。对于估计的失血量，手术时间，住院时间，开放转换次数或并发症，没有统计学意义的确定。然而，使用线性和逻辑回归分析确定了增加手术时间和术中并发症的趋势。结论：腹腔镜肾外科手术对于超重和肥胖患者是安全的，并且可能是该患者亚组的首选手术治疗方法。但是，应警告肥胖患者，其肥胖程度可能与手术难度增加有关，这表现为手术时间延长和术中并发症增加的趋势。

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