Correlation of increasing complication rate in obese patients undergoing laparoscopic adrenalectomy

doi:10.3877/cma.j.issn.1674-3253.2018.05.008

Abstract

Abstract:

Objective

To investigate the correlation of increasing complication rate in obese patients undergoing laparoscopic adrenalectomy.

Method

A retrospective chart review was performed on 80 patients undergoing laparoscopic adrenalectomy between January 2009 and January 2017. Clinical data was reviewed retrospectively. The correlation of increasing complication rate in obese patients undergoing laparoscopic adrenalectomy was analyzed.

Result

A total of 80 patients underwent laparoscopic adrenalectomy. Forty three patients were considered obese based on the body mass index criteria. Thirty-seven patients were considered healthy weight. Operative time, sex, mean age, mass size, operation side, estimated blood loss, and comorbidities did not differ significantly between the 2 cohort groups. Complications occured in a patients of the obese population and occured in 2 patients of the healthy weight population. The rate of complication in the obese population was higher than that in the healthy weight population (P=0.04). The multivariate regression analysis revealed that the main determinants of increasing complication rate after laparoscopic adrenalectomy were age and the body mass index≥30 kg/m².

Conclusion

A significant increase occurred in intraoperative and postoperative complications for obese individuals undergoing laparoscopic adrenalectomy compared with healthy weight individuals. However, obese individuals should be paid attention to perioperation period before laparoscopic adrenalectomy. It is effective, with decreasing complication rate in obese patients undergoing laparoscopic adrenalectomy.

Key words: Laparoscope, Adrenalectomy, Obesity, Complications

Zhenhua Zhao, Dongsheng Zheng, Guoping Zhao, Shijie Chen, Dai Li, Yuhong Xin, Riqiang Gan. Correlation of increasing complication rate in obese patients undergoing laparoscopic adrenalectomy[J]. Chinese Journal of Endourology(Electronic Edition), 2018, 12(05): 324-326.

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https://zhqjmnmwkzz.cma-cmc.com.cn/EN/Y2018/V12/I05/324

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References 12

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组别	性别（例）		年龄（岁，±s）	肾上腺大小（cm，±s）	手术侧别（例）		手术时间（min，±s）	出血量（ml，±s）	合并症（例）			并发症（例）
组别	男	女	年龄（岁，±s）	肾上腺大小（cm，±s）	左	右	手术时间（min，±s）	出血量（ml，±s）	心脏	呼吸道	糖尿病	术中	术后
BMI<30 kg/m²	20	17	48±8	4.4±0.3	20	17	102±12	54±22	9	8	5	0	2
BMI≥30 kg/m²	18	25	49±11	4.5±0.7	26	17	103±14	53±16	7	11	13	3	6
统计值	χ²=1.19		t=0.56	t=0.06	χ²=0.33		t=0.29	t=-0.36	χ²=0.87	χ²=0.17	χ²=3.19	χ²=4.04
P值	0.28		0.57	0.95	0.56		0.77	0.73	0.37	0.68	0.07	0.04

组别	性别（例）		年龄（岁，±s）	肾上腺大小（cm，±s）	手术侧别（例）		手术时间（min，±s）	出血量（ml，±s）	合并症（例）			并发症（例）
组别	男	女	年龄（岁，±s）	肾上腺大小（cm，±s）	左	右	手术时间（min，±s）	出血量（ml，±s）	心脏	呼吸道	糖尿病	术中	术后
BMI<30 kg/m²	20	17	48±8	4.4±0.3	20	17	102±12	54±22	9	8	5	0	2
BMI≥30 kg/m²	18	25	49±11	4.5±0.7	26	17	103±14	53±16	7	11	13	3	6
统计值	χ²=1.19		t=0.56	t=0.06	χ²=0.33		t=0.29	t=-0.36	χ²=0.87	χ²=0.17	χ²=3.19	χ²=4.04
P值	0.28		0.57	0.95	0.56		0.77	0.73	0.37	0.68	0.07	0.04

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