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 patients were higher than in the general population undergoing laparoscopic surgery (0.3% to 21%).
| Original language | English |
|---|---|
| Pages (from-to) | 562-567 |
| Number of pages | 6 |
| Journal | Urology |
| Volume | 48 |
| Issue number | 4 |
| DOIs | |
| State | Published - Oct 1 1996 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Urology
Cite this
Laparoscopic complications in markedly obese urologic patients (a multi- institutional review). / Mendoza, David; Newman, Robert C.; Albala, David; Cohen, Marc S.; Tewari, Ashu; Lingeman, James; Wong, Michael; Kavoussi, Louis; Adams, John; Moore, Robert; Winfield, Howard; Glascock, J. Matthew; Das, Sakti; Munch, Larry; Grasso, Michael; Dickinson, Michael; Clayman, Ralph; Nakada, Stephen; McDougall, Elspeth M.; Wolf, I. Stuart; Hulbert, John; Leveillee, Raymond J.; Houshair, A.; Carson, Culley.
In: Urology, Vol. 48, No. 4, 01.10.1996, p. 562-567.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoscopic complications in markedly obese urologic patients (a multi- institutional review)
AU - Mendoza, David
AU - Newman, Robert C.
AU - Albala, David
AU - Cohen, Marc S.
AU - Tewari, Ashu
AU - Lingeman, James
AU - Wong, Michael
AU - Kavoussi, Louis
AU - Adams, John
AU - Moore, Robert
AU - Winfield, Howard
AU - Glascock, J. Matthew
AU - Das, Sakti
AU - Munch, Larry
AU - Grasso, Michael
AU - Dickinson, Michael
AU - Clayman, Ralph
AU - Nakada, Stephen
AU - McDougall, Elspeth M.
AU - Wolf, I. Stuart
AU - Hulbert, John
AU - Leveillee, Raymond J.
AU - Houshair, A.
AU - Carson, Culley
PY - 1996/10/1
Y1 - 1996/10/1
N2 - 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 patients were higher than in the general population undergoing laparoscopic surgery (0.3% to 21%).
AB - 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 patients were higher than in the general population undergoing laparoscopic surgery (0.3% to 21%).
UR - http://www.scopus.com/inward/record.url?scp=0030273138&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030273138&partnerID=8YFLogxK
U2 - 10.1016/S0090-4295(96)00231-2
DO - 10.1016/S0090-4295(96)00231-2
M3 - Article
C2 - 8886061
AN - SCOPUS:0030273138
VL - 48
SP - 562
EP - 567
JO - Urology
JF - Urology
SN - 0090-4295
IS - 4
ER -