Effect of Body Mass Index on Perioperative Outcomes for Laparoscopic Partial Nephrectomy

2011 ◽  
Vol 25 (9) ◽  
pp. 1447-1450 ◽  
Author(s):  
Samuel H. Eaton ◽  
Nannan Thirumavalaven ◽  
Mark H. Katz ◽  
Richard K. Babayan ◽  
David S. Wang
Keyword(s):  
Body Mass Index ◽  
Partial Nephrectomy ◽  
Body Mass ◽  
Laparoscopic Partial Nephrectomy ◽  
Perioperative Outcomes

Perioperative Outcomes of Laparoscopic Partial Nephrectomy Stratified by Body Mass Index

2015 ◽  
Vol 29 (9) ◽  
pp. 1011-1017 ◽  
Author(s):  
Arvin K. George ◽  
Jason T. Rothwax ◽  
Amin S. Herati ◽  
Arun K. Srinivasan ◽  
Soroush Rais-Bahrami ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Partial Nephrectomy ◽  
Body Mass ◽  
Laparoscopic Partial Nephrectomy ◽  
Perioperative Outcomes

The Impact of Body Mass Index on Perioperative Outcomes in Robot-Assisted Laparoscopic Partial Nephrectomy

2013 ◽  
Vol 27 (8) ◽  
pp. 1000-1007 ◽  
Author(s):  
Halil Kiziloz ◽  
Ryan Dorin ◽  
Kyle T. Finnegan ◽  
Steven Shichman ◽  
Anoop Meraney
Keyword(s):  
Body Mass Index ◽  
Partial Nephrectomy ◽  
Body Mass ◽  
Laparoscopic Partial Nephrectomy ◽  
Perioperative Outcomes ◽  
Robot Assisted ◽  
The Impact

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

2012 ◽  
Vol 11 (1) ◽  
pp. e140
Author(s):  
G. Kaneko ◽  
A. Miyajima ◽  
N. Tanaka ◽  
E. Kikuchi ◽  
K. Nakagawa ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Partial Nephrectomy ◽  
Body Mass ◽  
High Body Mass Index ◽  
Laparoscopic Partial Nephrectomy ◽  
High Body

COMPARISON OF OPEN AND LAPAROSCOPIC PARTIAL NEPHRECTOMY IN OBESE AND NONOBESE PATIENTS: OUTCOMES STRATIFIED BY BODY MASS INDEX

2009 ◽  
Vol 181 (4S) ◽  
pp. 534-534
Author(s):  
Marc T Feder ◽  
A Ari Hakimi ◽  
Pedro Maria ◽  
David M Hoenig ◽  
Reza Ghavamian
Keyword(s):  
Body Mass Index ◽  
Partial Nephrectomy ◽  
Body Mass ◽  
Laparoscopic Partial Nephrectomy ◽  
Nonobese Patients

scholarly journals The Benefit of Laparoscopic Partial Nephrectomy in High Body Mass Index Patients

2012 ◽  
Vol 42 (7) ◽  
pp. 619-624 ◽  
Author(s):  
G. Kaneko ◽  
A. Miyajima ◽  
E. Kikuchi ◽  
K. Nakagawa ◽  
M. Oya
Keyword(s):  
Body Mass Index ◽  
Partial Nephrectomy ◽  
Body Mass ◽  
High Body Mass Index ◽  
Laparoscopic Partial Nephrectomy ◽  
High Body

scholarly journals Analysis of predictors of adherent perinephric fat and its impact on perioperative outcomes in laparoscopic partial nephrectomy: a retrospective case–control study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Lu Fang ◽  
Huan Li ◽  
Tao Zhang ◽  
Rui Liu ◽  
Taotao Zhang ◽  
...  
Keyword(s):  
Blood Loss ◽  
Partial Nephrectomy ◽  
Univariate Analysis ◽  
Warm Ischemia ◽  
Laparoscopic Partial Nephrectomy ◽  
Renal Tumors ◽  
Perioperative Outcomes ◽  
Transfusion Rate ◽  
Estimated Blood Loss ◽  
Perinephric Fat

Abstract Background Adherent perinephric fat (APF), characterized by inflammatory fat surrounding the kidney, can limit the isolation of renal tumors and increase the operative difficulty in laparoscopic partial nephrectomy (LPN). The aim of this study was to investigate the predictors of APF and its impact on perioperative outcomes during LPN. Methods A total of 215 consecutive patients undergoing LPN for renal cell carcinoma (RCC) from January 2017 to June 2019 at our institute were included. We divided these patients into two groups according to the presence of APF. Radiographic data were retrospectively collected from preoperative cross-sectional imaging. The perioperative clinical parameters were compared between the two groups. Univariate and multivariate analyses were performed to evaluate the predictive factors of APF. Results APF was identified in 41 patients (19.1%) at the time of LPN. Univariate analysis demonstrated that APF was significantly correlated with the male gender (P = 0.001), higher body mass index (P = 0.002), lower preoperative estimated glomerular filtration rate (P = 0.004), greater posterior perinephric fat thickness (P< 0.001), greater perinephric stranding (P< 0.001), and higher Mayo Adhesive Probability (MAP) score (P< 0.001). The MAP score (P< 0.001) was the only variable that remained an independent predictor for APF in multivariate analysis. We found that patients with APF had longer operative times (P< 0.001), warm ischemia times (P = 0.001), and greater estimated blood loss (P = 0.003) than those without APF. However, there were no significant differences in surgical approach, transfusion rate, length of postoperative stay, complication rate, or surgical margin between the two groups. Conclusions Several specific clinical and radiographic factors including the MAP score can predict APF. The presence of APF is associated with an increased operative time, warm ischemia time, and greater estimated blood loss but has no impact on other perioperative outcomes in LPN.

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