46 Impact of body mass index on the operative course and complications of robot assisted laparoscopic prostatectomy (RALP)

2011 ◽  
Vol 10 (8) ◽  
pp. 547-548 ◽  
Author(s):  
S.S. Rambaran ◽  
M. Kliffen ◽  
D. van den Ouden ◽  
D.C.D. Lange ◽  
R.P. Engel ◽  
...  
2019 ◽  
Vol 8 (10) ◽  
pp. 1509 ◽  
Author(s):  
Yu ◽  
Park ◽  
Kim ◽  
Kim ◽  
Hwang ◽  
...  

Robot-assisted laparoscopic prostatectomy (RALP) is a minimally invasive technique for the treatment of prostate cancer. RALP requires the patient to be placed in the steep Trendelenburg position, along with pneumoperitoneum, which may increase the risk of postoperative pulmonary complications (PPCs). This large single-center retrospective study evaluated the incidence and risk factors of PPCs in 2208 patients who underwent RALP between 2014 and 2017. Patients were divided into those with (PPC group) and without (non-PPC group) PPCs. Postoperative outcomes were evaluated, and univariate and multivariate logistic regression analyses were performed to assess risk factors of PPCs. PPCs occurred in 682 patients (30.9%). Risk factors of PPCs included age (odds ratio [OR], 1.023; p = 0.001), body mass index (OR, 1.061; p = 0.001), hypoalbuminemia (OR, 1.653; p = 0.008), and positive end-expiratory pressure (PEEP) application (OR, 0.283; p < 0.001). The incidence of postoperative complications, rate of intensive care unit (ICU) admission, and duration of ICU stay were significantly greater in the PPC group than in the non-PPC group. In conclusion, the incidence of PPCs in patients who underwent RALP under pneumoperitoneum in the steep Trendelenburg position was 30.9%. Factors associated with PPCs included older age, higher body mass index, hypoalbuminemia, and lack of PEEP.


2017 ◽  
Vol 120 (5) ◽  
pp. 689-694 ◽  
Author(s):  
Nariman Ahmadi ◽  
Thomas G. Clifford ◽  
Gus Miranda ◽  
Jie Cai ◽  
Monish Aron ◽  
...  

2010 ◽  
Vol 4 (4) ◽  
pp. 250-254 ◽  
Author(s):  
Venu Chalasani ◽  
Carlos H. Martinez ◽  
Darwin Lim ◽  
Reem Al Bareeq, ◽  
Geoffrey R. Wignall ◽  
...  

2014 ◽  
Vol 13 (3) ◽  
pp. 43
Author(s):  
I. Tufek ◽  
O.B. Argun ◽  
M. Keskin ◽  
R. Coskuner ◽  
A. Sahin ◽  
...  

2017 ◽  
Vol 119 (4) ◽  
pp. E6-E7
Author(s):  
Benjamin Namdarian ◽  
Akshaya Rajangam ◽  
Benjamin Challacombe

Sign in / Sign up

Export Citation Format

Share Document