J.E. Rosas-Nava, L. Almazan-Treviño, M. Maldonado-Ávila, J.I. Monjaras-Guerra, E. Jimenez-Cisneros, M. Tellez-Sánchez, H.A. Manzanilla-García, L. Garduño-Arteaga, V.E. Corona Montes
{"title":"Resultados de la nefrectomía laparoscópica en pacientes obesos y no obesos","authors":"J.E. Rosas-Nava, L. Almazan-Treviño, M. Maldonado-Ávila, J.I. Monjaras-Guerra, E. Jimenez-Cisneros, M. Tellez-Sánchez, H.A. Manzanilla-García, L. Garduño-Arteaga, V.E. Corona Montes","doi":"10.1016/j.uromx.2016.07.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Obesity has been shown to adversely affect surgical results and so it is considered a relative contraindication for laparoscopy. Increased experience has done away with many obstacles to laparoscopic renal surgery.</p></div><div><h3>Aim</h3><p>To describe and compare the surgical results of laparoscopic nephrectomies in obese and non-obese patients.</p></div><div><h3>Materials and methods</h3><p>Seventy-five patients underwent laparoscopic nephrectomy within the time frame of 2011-2015 that was performed by 2 urologists trained in laparoscopic surgery. The cases were divided into obese and non-obese patients. The Student's t test was used to evaluate the variables in the two groups and complications were assessed using the chi-square test.</p></div><div><h3>Results</h3><p>Twenty-seven patients had normal weight (36%) and 48 had overweight or obesity (64%). In means, hospital stay in days was 3, intraoperative blood loss was 227<!--> <!-->ml, and surgery duration was 167<!--> <!-->min. Eleven patients had some type of complication (14.7%). Patient age was the only statistically significant variable <em>(P</em><.008).</p></div><div><h3>Conclusions</h3><p>Our study suggests that laparoscopic nephrectomy has the same surgical results in obese and non-obese patients. The minimally invasive approach is a safe and feasible technique in the obese population.</p></div>","PeriodicalId":34909,"journal":{"name":"Revista mexicana de urologia","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.uromx.2016.07.004","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista mexicana de urologia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2007408516300490","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 1
Abstract
Introduction
Obesity has been shown to adversely affect surgical results and so it is considered a relative contraindication for laparoscopy. Increased experience has done away with many obstacles to laparoscopic renal surgery.
Aim
To describe and compare the surgical results of laparoscopic nephrectomies in obese and non-obese patients.
Materials and methods
Seventy-five patients underwent laparoscopic nephrectomy within the time frame of 2011-2015 that was performed by 2 urologists trained in laparoscopic surgery. The cases were divided into obese and non-obese patients. The Student's t test was used to evaluate the variables in the two groups and complications were assessed using the chi-square test.
Results
Twenty-seven patients had normal weight (36%) and 48 had overweight or obesity (64%). In means, hospital stay in days was 3, intraoperative blood loss was 227 ml, and surgery duration was 167 min. Eleven patients had some type of complication (14.7%). Patient age was the only statistically significant variable (P<.008).
Conclusions
Our study suggests that laparoscopic nephrectomy has the same surgical results in obese and non-obese patients. The minimally invasive approach is a safe and feasible technique in the obese population.
期刊介绍:
Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.