Laparoscopic radical nephrectomy in obese patients: outcomes and technical considerations.

摘要: Abstract Objectives To review our technique and experience with laparoscopic radical nephrectomy (LRN) in the obese patient population. Obesity has been considered a potential risk factor for poor outcomes variety of surgical procedures relative contraindication to laparoscopy. Since 1996, increased technical modifications, obesity not laparoscopy at institution. Methods Retrospective data were obtained all patients who underwent LRN from January 1997 December 2000. A body mass index (Quetelet's index) greater than 30 was used define patients. Technical modifications included slightly insufflation pressures lateral shift trocar sites. The group compared nonobese group. Results Of 101 LRN, 69 32 obese. No statistically significant differences observed any analyzed operative between group, including mean time 220 242 minutes, respectively. Other factors assessed ambulation, length hospital stay, conversion rate an open procedure, complication rate, which also demonstrated no difference. Only one procedure required both groups. Conclusions With minor can be safely performed Proper site selection critical success. intraoperative postoperative course significant. should nephrectomy.