The benefit of laparoscopic partial nephrectomy in high body mass index patients

Japanese Journal of Clinical Oncology
Gou KanekoMototsugu Oya

Abstract

The aims of the present study were to evaluate the effect of body mass index on the surgical outcomes of open partial nephrectomy and laparoscopic partial nephrectomy, and to analyze whether higher body mass index patients may derive greater benefit from laparoscopic partial nephrectomy. We reviewed 110 patients who underwent open partial nephrectomy and 47 patients who underwent laparoscopic partial nephrectomy at our institution. We analyzed the data to determine what kind of factor would be associated with prolonged operative time, increased estimated blood loss and prolonged ischemic time, and compared the result of open partial nephrectomy with that of laparoscopic partial nephrectomy. A statistically significant correlation was observed between body mass index and operative time or estimated blood loss in open partial nephrectomy. Multivariate analysis also demonstrated that body mass index was an independent predictor for prolonged operative time and higher estimated blood loss in open partial nephrectomy, but not in laparoscopic partial nephrectomy. In the normal body mass index group (body mass index<25.0 kg/m2), although mean operative time in the laparoscopic partial nephrectomy group was significantly longer than th...Continue Reading

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Citations

Jul 17, 2013·Nature Reviews. Clinical Oncology·Wenjing Tao, Jesper Lagergren
Feb 1, 2015·Japanese Journal of Clinical Oncology·Kazuyuki YugeMototsugu Oya
Feb 23, 2018·Der Urologe. Ausg. A·S K FreesA Haferkamp
Aug 25, 2018·Arab Journal of Urology·Angus Chin On LukRakesh Heer
Jan 31, 2020·Frontiers in Surgery·Ohad KottDragan Golijanin

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