A Critical Analysis of Perioperative Outcomes in Morbidly Obese Patients Following Renal Mass Surgery.

摘要: Objective To evaluate if body mass index (BMI) ≥ 40 is associated with risk of postoperative complications, receipt perioperative blood transfusion (PBT), length hospital stay (LOS), death, or readmission rate following renal surgery. Materials and Methods After Institutional Review Board approval, comprehensive information was collected for patients treated surgery from 2000 to 2015 at one institution. Univariable multivariable analyses were used the association BMI ≥ 40 among other putative factors outcomes. Results A total 1048 surgically, including 115 (11%) BMI > 40. Minimally invasive open surgical approaches 480 (45.8%) 568 (54.2%) patients, respectively. Morbid obesity not major overall PBT, LOS, rate, death. Charlson comorbidity only independent predictor complications surgery, P  = .0006, per point odds ratio 1.2 (95%C.I. 1.08-1.32). Surgical site infections (SSIs) more common in vs BMI   = .01). Following analysis, SSIs, 2.6, 95% confidence interval 1.32-5.13;  = .006. Conclusion (BMI ≥ 40) an developing SSIs predictive readmission, LOS.