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The Effect of Retroperitoneal Fat Mass on Surgical Outcomes in Patients Performing Laparoscopic Adrenalectomy: The Effect of Fat Tissue in Adrenalectomy
- Source :
- Surgical Innovation. 17:114-119
- Publication Year :
- 2010
- Publisher :
- SAGE Publications, 2010.
-
Abstract
- Background: Obesity and visceral fat are thought to be the most important factors influencing the technical difficulty during open and laparoscopic surgery. The authors aimed to investigate the effect of retroperitoneal fat mass on surgical outcomes in patients undergoing laparoscopic adrenalectomy. Patients and methods: This prospective study included 51 consecutive patients who underwent lateral transabdominal laparoscopic adrenalectomy. Body mass index (BMI) and retroperitoneal fat area (RFA)/adrenal mass area (AMA) ratio were calculated. Results: There was a positive correlation between BMI and operating time and postoperative complications and hospital stay. According to 2-way analysis of variance, only RFA/AMA ratio ( P = .0001) was found to significantly correlate with operating time, whereas BMI did not significantly correlate with operating time ( P = .51). In patients with high BMI, high RFA indicated longer operating time and higher complication rate, whereas low RFA was associated with significantly shorter operating time and decreased risk of complications. Conclusion: Retroperitoneal fat mass is a more useful parameter than BMI for predicting the surgical outcomes of laparoscopic adrenalectomy.
- Subjects :
- Adult
Male
Laparoscopic surgery
medicine.medical_specialty
Time Factors
Intra-Abdominal Fat
medicine.medical_treatment
Adipose tissue
Body Mass Index
Young Adult
Postoperative Complications
Humans
Medicine
Obesity
Prospective Studies
Laparoscopy
Prospective cohort study
Adiposity
Aged
medicine.diagnostic_test
business.industry
Adrenalectomy
Length of Stay
Middle Aged
medicine.disease
Surgery
Treatment Outcome
Female
Tomography, X-Ray Computed
business
Body mass index
Subjects
Details
- ISSN :
- 15533514 and 15533506
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- Surgical Innovation
- Accession number :
- edsair.doi.dedup.....ff189106a5a4fe6715e73986c91dcb0e