Resultados de la nefrectomía laparoscópica en pacientes obesos y no obesos

Q4 Medicine

Revista mexicana de urologia Pub Date : 2016-11-01 DOI:10.1016/j.uromx.2016.07.004

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

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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.

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肥胖和非肥胖患者腹腔镜肾切除术的结果

肥胖已被证明对手术结果有不利影响，因此它被认为是腹腔镜手术的相对禁忌症。经验的增加消除了腹腔镜肾脏手术的许多障碍。目的描述并比较肥胖和非肥胖患者腹腔镜肾切除术的手术效果。材料与方法在2011-2015年期间，75例患者接受了腹腔镜肾切除术，由2名接受过腹腔镜手术培训的泌尿科医师实施。这些病例被分为肥胖和非肥胖两组。采用Student’st检验评价两组变量，采用卡方检验评价并发症。结果体重正常27例(36%)，超重或肥胖48例(64%)。平均住院时间3天，术中出血量227 ml，手术时间167 min。11例出现不同类型的并发症(14.7%)。患者年龄是唯一具有统计学意义的变量(P< 0.008)。结论本研究提示，腹腔镜肾切除术在肥胖和非肥胖患者中具有相同的手术效果。在肥胖人群中，微创手术是一种安全可行的技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista mexicana de urologia Medicine-Urology

CiteScore

0.20

自引率

0.00%

发文量

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.