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Laparoscopic complications in markedly obese urologic patients (A multi-institutional review)
- Source :
- Urology. 48:562-567
- Publication Year :
- 1996
- Publisher :
- Elsevier BV, 1996.
-
Abstract
- Objectives . Significant obesity is considered to be a relative contraindication to laparoscopic surgery. This study reviews the complications encountered in massively obese patients undergoing urologic laparoscopic surgery. Methods . Body mass index (BMI) was used as an objective index to indicate massive obesity. Eleven institutions compiled retrospective data on 125 patients having a BMI greater than 30. Procedures performed included 76 pelvic lymph node dissections, 14 nephrectomies, 7 bladder neck suspensions, and 28 miscellaneous procedures. Results . For the group as a whole, the mean BMI was 35.1 (range 30.1 to 57.2). Mean operative time was 202 minutes (range 60 to 480). Conversion to open surgery occurred in 15 of the 125 patients (12%). Complication rates (minor and major) were 22% (27 occurrences in 125 patients) intraoperatively and 26% (33 occurrences in 125 patients) postoperatively. The major complications included 2 trocar injuries to abdominal wall vessels, 1 bladder injury, 3 peripheral nerve injuries, 1 dysrhythmia, 1 deep vein thrombosis, 1 wound seroma, 1 nephrocutaneous fistula, 1 incisional hernia, and 1 death. Conclusions . In this review, complication rates for urologic laparoscopic surgery on massively obese patientswere higher than in the general population undergoing laparoscopic surgery (0.3% to 21%).
- Subjects :
- Adult
Urologic Diseases
Laparoscopic surgery
medicine.medical_specialty
Adolescent
Incisional hernia
Urology
medicine.medical_treatment
Deep vein
Population
Postoperative Complications
medicine
Humans
Obesity
Intraoperative Complications
education
Laparoscopy
Contraindication
Aged
Retrospective Studies
Aged, 80 and over
education.field_of_study
medicine.diagnostic_test
business.industry
Middle Aged
medicine.disease
Surgery
Neck of urinary bladder
medicine.anatomical_structure
Complication
business
Subjects
Details
- ISSN :
- 00904295
- Volume :
- 48
- Database :
- OpenAIRE
- Journal :
- Urology
- Accession number :
- edsair.doi.dedup.....8e99cb2eca5e9d02e5d49602d9af48eb