Effect of body mass index on the perioperative safety of retroperitoneal approach robot assisted partial nephrectomy
Lyu Xiangjun
Tang Lu
Zhang Xu
Ma Xin
Li Hongzhao
Li Xintao
Abstract：Objective:To study the effect of body mass index(BMI)on the perioperative safety of retroperito-neal approach robot assisted partial nephrectomy(RPRPN).Methods:Clinical data of 267 patients receiving RPRPN in Chines PLA General Hospital from January 2015 to December 2016 were retrospectively analyZed,in-cluding the operation time,warm ischemia time,intraoperative estimated blood loss,positive margin,postopera-tive hospital stay,perioperative complications.The correlation of BMI and perioperative factors was analyZed.Re-sults:There were 175 males and 92 females,aged 18 to 85 years old,with an average age of(51.38 ± 12.4)years. 267 cases were divided into 3 groups according to the Chinese population BMI standard of Working Group on Obe-sity in China(WGOC),including BMI <24 kg/m2(normal),24.0-27.9 kg/m2(overweight),28 kg/m2(obesi-ty).The age,gender,CCI score,tumor diameter and R.E.N.A.L score among the groups showed no statistically significant difference.RPRPN was performed successfully on all the 267 cases without conversion to open surgery. There were also no statistically significant differences in the operation time,warm ischemia time,intraoperative estimated blood loss,positive margin,postoperative hospital stay and perioperative complications among three groups.Conclusions:The RPRPN is effective and safe in overweight and obese patients.
Keywords：body mass indexrobotic surgeryretroperitoneal approachpartial nephrectomy
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 73-76 )