The effect of obesity in laparoscopic transperitoneal adrenalectomy
Yıl: 2021 Cilt: 37 Sayı: 2 Sayfa Aralığı: 126 - 132 Metin Dili: İngilizce DOI: 10.47717/turkjsurg.2021.4901 İndeks Tarihi: 04-06-2022
The effect of obesity in laparoscopic transperitoneal adrenalectomy
Öz: Objective: Laparoscopic adrenalectomy is the gold standard for the resection of adrenal tumors. However, there are some technical difficulties, which may be due to the fact that adrenalectomy is rarely encountered in general surgery practice and has a high learning curve. In addition to these, obesity is another problem in laparoscopic adrenalectomies. In the present study, it was aimed to evaluate whether obesity affects perioperative and postoperative complications after laparoscopic adrenalectomy.
Material and Methods: This is a retrospective comparative study carried out between December 2008 and June 2018. A total of 65 patients who un- derwent laparoscopic transperitoneal adrenalectomy were divided into two groups according to their Body Mass Index (BMI). Patients’ demographic data, perioperative and postoperative results were analyzed from hospital medical records.
Results: There were 30 non-obese and 35 obese patients. There was no significant difference between obese and non-obese patients in terms of operation time, peroperative complications and length of hospital stay. However, there was a statistically significant difference between the two groups for postoperative complications (p< 0.031). There was conversion to open surgery in four obese patients and in one patient in the non-obese group.
Conclusion: In obese patients, technical difficulties may be encountered during surgery due to increased adipose tissue, and postoperative complication rates may increase. Nevertheless, laparoscopic transperitoneal adrenalectomy can be performed safely paying attention to the management of obesity-related complications.
Anahtar Kelime: Laparoskopik transperitoneal adrenalektomide obezitenin etkisi
Öz: Giriş ve Amaç: Laparoskopik adrenalektomi adrenal tümörlerin rezeksiyonu için altın standarttır. Ancak genel cerrahi pratiğinde nadiren rastlanılması, öğrenim eğrisinin yüksek olması gibi bazı teknik zorlukları vardır. Bunlara ek olarak, obezite de laparoskopik adrenalektomide bir başka sorundur. Biz bu çalışmamızda obezitenin laparoskopik adrenalektomide perioperatif ve postoperatif komplikasyonlara olan etkisini değerlendirmeyi amaçladık.
Gereç ve Yöntem: Çalışmaya Aralık 2008 ve Haziran 2018 tarihleri arasında opere edilen hastalar dahil edildi. Laparoskopik transperitoneal adrenalektomi uygulanan toplam 65 hasta vücut kitle indeksine (VKİ) göre iki gruba ayrıldı. Hastaların demografik verileri, perioperatif ve postoperatif sonuçlarının kayıtları analiz edilerek gruplar karşılaştırıldı.
Bulgular: Toplam 35 obez ve 30 obez olmayan hasta değerlendirildi. Obez ve obez olmayan hastalar arasında ameliyat süresi, peroperatif komplikasyonlar ve hastanede kalış süreleri açısından anlamlı fark yoktu. Ameliyat sonrası komplikasyonlar açısından ise iki grup arasında istatistiksel olarak anlamlı bir fark gözlendi (p< 0,031). Obez grubunda dört hastada, obez olmayan grupta ise bir hastada açık cerrahiye geçildi.
Sonuç: Obez hastalarda artan yağ dokusu nedeniyle ameliyat sırasında teknik zorluklarla karşılaşılabilir ve postoperatif komplikasyonlarda artış görülebilir. Buna rağmen obeziteye bağlı komplikasyonların yönetimine dikkat edilerek laparoskopik transperitoneal adrenalektomi güvenli bir şekilde uygulanabilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | ALTIN Ö, Sarı R (2021). The effect of obesity in laparoscopic transperitoneal adrenalectomy. , 126 - 132. 10.47717/turkjsurg.2021.4901 |
| Chicago | ALTIN ÖNDER,Sarı Ramazan The effect of obesity in laparoscopic transperitoneal adrenalectomy. (2021): 126 - 132. 10.47717/turkjsurg.2021.4901 |
| MLA | ALTIN ÖNDER,Sarı Ramazan The effect of obesity in laparoscopic transperitoneal adrenalectomy. , 2021, ss.126 - 132. 10.47717/turkjsurg.2021.4901 |
| AMA | ALTIN Ö,Sarı R The effect of obesity in laparoscopic transperitoneal adrenalectomy. . 2021; 126 - 132. 10.47717/turkjsurg.2021.4901 |
| Vancouver | ALTIN Ö,Sarı R The effect of obesity in laparoscopic transperitoneal adrenalectomy. . 2021; 126 - 132. 10.47717/turkjsurg.2021.4901 |
| IEEE | ALTIN Ö,Sarı R "The effect of obesity in laparoscopic transperitoneal adrenalectomy." , ss.126 - 132, 2021. 10.47717/turkjsurg.2021.4901 |
| ISNAD | ALTIN, ÖNDER - Sarı, Ramazan. "The effect of obesity in laparoscopic transperitoneal adrenalectomy". (2021), 126-132. https://doi.org/10.47717/turkjsurg.2021.4901 |
| APA | ALTIN Ö, Sarı R (2021). The effect of obesity in laparoscopic transperitoneal adrenalectomy. Turkish Journal of Surgery, 37(2), 126 - 132. 10.47717/turkjsurg.2021.4901 |
| Chicago | ALTIN ÖNDER,Sarı Ramazan The effect of obesity in laparoscopic transperitoneal adrenalectomy. Turkish Journal of Surgery 37, no.2 (2021): 126 - 132. 10.47717/turkjsurg.2021.4901 |
| MLA | ALTIN ÖNDER,Sarı Ramazan The effect of obesity in laparoscopic transperitoneal adrenalectomy. Turkish Journal of Surgery, vol.37, no.2, 2021, ss.126 - 132. 10.47717/turkjsurg.2021.4901 |
| AMA | ALTIN Ö,Sarı R The effect of obesity in laparoscopic transperitoneal adrenalectomy. Turkish Journal of Surgery. 2021; 37(2): 126 - 132. 10.47717/turkjsurg.2021.4901 |
| Vancouver | ALTIN Ö,Sarı R The effect of obesity in laparoscopic transperitoneal adrenalectomy. Turkish Journal of Surgery. 2021; 37(2): 126 - 132. 10.47717/turkjsurg.2021.4901 |
| IEEE | ALTIN Ö,Sarı R "The effect of obesity in laparoscopic transperitoneal adrenalectomy." Turkish Journal of Surgery, 37, ss.126 - 132, 2021. 10.47717/turkjsurg.2021.4901 |
| ISNAD | ALTIN, ÖNDER - Sarı, Ramazan. "The effect of obesity in laparoscopic transperitoneal adrenalectomy". Turkish Journal of Surgery 37/2 (2021), 126-132. https://doi.org/10.47717/turkjsurg.2021.4901 |
