Effect of body mass index on the operation time and postoperative hospital stay of retroperitoneal laparoscopic renal cyst decortication

Q3 Medicine

Laparoscopic Endoscopic and Robotic Surgery Pub Date : 2021-06-01 DOI:10.1016/j.lers.2021.05.001

Peng Gu , Meilin Li , Minhao Zhang , Xiaoliang He

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引用次数: 0

Abstract

Objective

To investigate the effect of body mass index (BMI) on the operation time and postoperative hospital stay for patients who underwent retroperitoneal laparoscopic decortication for a single simple renal cyst.

Methods

A retrospective cohort study was conducted among 81 patients with single simple renal cyst who had undergone retroperitoneal laparoscopic cyst decortication from January 2017 to December 2019 in Wuxi Xishan People's Hospital. All patients were divided into three groups according to BMI: normal group (BMI<25 kg/m², n = 44), overweight group (BMI = 25–30 kg/m², n = 21), and obese group (BMI>30 kg/m², n = 16). Multiple linear regression was conducted to investigate the correlation.

Results

The three groups were comparable in terms of age, gender, maximum diameter of cyst, and cyst location. In the aspect of operation time, only the patients in obese group had longer duration when compared with those in the normal group (59.1 ± 15.7 min vs. 45.2 ± 12.8 min, p = 0.001). And the patients in the obese group had significantly longer hospital stay compared with those in the normal group (6.2 ± 1.9 d vs. 5.2 ± 0.5 d, p = 0.002) and overweight group (6.2 ± 1.9 d vs. 5.0 ± 1.0 d, p = 0.001). In the analysis of multiple linear regression, it was found that operation time is significantly affected by BMI and location 2, with coefficients of 1.299 and −8.646 respectively. The influence of BMI was greater than location 2 (0.335 vs. −0.289). For hospital stay, only BMI had an effect on it, with a coefficient of 0.110.

Conclusion

BMI was a major factor that associated with longer operation time and hospital stay in patients with retroperitoneal laparoscopic renal cyst decortication.

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体重指数对后腹腔镜肾囊肿去皮术时间及术后住院时间的影响

目的探讨体重指数(BMI)对单纯性肾囊肿经腹膜后腹腔镜去皮术患者手术时间及术后住院时间的影响。方法对2017年1月至2019年12月在无锡市西山人民医院行后腹腔镜囊肿去皮术的81例单纯性肾囊肿患者进行回顾性队列研究。所有患者根据BMI分为正常组(BMI = 25 kg/m2, n = 44)、超重组(BMI = 25 ~ 30 kg/m2, n = 21)、肥胖组(BMI = 30 kg/m2, n = 16)。采用多元线性回归分析其相关性。结果三组患者在年龄、性别、囊肿最大直径、囊肿位置等方面具有可比性。在手术时间方面，只有肥胖组患者手术时间较正常组更长(59.1±15.7 min vs. 45.2±12.8 min, p = 0.001)。肥胖组患者住院时间明显长于正常组(6.2±1.9 d比5.2±0.5 d, p = 0.002)和超重组(6.2±1.9 d比5.0±1.0 d, p = 0.001)。在多元线性回归分析中发现，BMI和位置2对手术时间有显著影响，其系数分别为1.299和- 8.646。BMI的影响大于位置2 (0.335 vs. - 0.289)。对于住院时间，只有BMI对其有影响，系数为0.110。结论bmi是导致后腹腔镜肾囊肿去皮术患者手术时间和住院时间延长的主要因素。

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

Laparoscopic Endoscopic and Robotic Surgery minimally invasive surgery-

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Laparoscopic, Endoscopic and Robotic Surgery aims to provide an academic exchange platform for minimally invasive surgery at an international level. We seek out and publish the excellent original articles, reviews and editorials as well as exciting new techniques to promote the academic development. Topics of interests include, but are not limited to: ▪ Minimally invasive clinical research mainly in General Surgery, Thoracic Surgery, Urology, Neurosurgery, Gynecology & Obstetrics, Gastroenterology, Orthopedics, Colorectal Surgery, Otolaryngology, etc.; ▪ Basic research in minimally invasive surgery; ▪ Research of techniques and equipments in minimally invasive surgery, and application of laparoscopy, endoscopy, robot and medical imaging; ▪ Development of medical education in minimally invasive surgery.