Publication:
The impact of body mass index on perioperative outcomes of robotic adrenalectomy: an update

dc.contributor.coauthorAkbas, Melis
dc.contributor.coauthorOzdemir, Murat
dc.contributor.coauthorMakay, Özer
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorAğcaoğlu, Orhan
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T23:18:04Z
dc.date.issued2019
dc.description.abstractBackground. Robotic surgery has gained increasing popularity over the past 2 decades. However, factors including patient comorbidities and tumor characteristics are still crucial factors for outcomes of surgery. In this study, we evaluated the impact of body mass index (BMI) on perioperative outcomes in patients who underwent robotic adrenal surgery. Methods. Between May 2012 and November 2017, 66 consecutive patients who underwent robotic adrenalectomy were included in this study. Patients were divided into 2 groups based on their BMI: nonobese (<30 kg/m(2)) and obese (>= 30 kg/m(2)). Additionally, patient demographics, tumor size, total operative time, docking time, console time, estimated blood loss, conversion to open, complications, additional analgesia requirement, length of hospital stay, and rough costs were evaluated. Results. of the 66 patients, a total of 26 patients were obese (30%). Between study groups, the median BMI was calculated as 26 (18-29) and 33 (30-57). The groups were similar in terms of age, gender, American Society of Anesthesiologists scores, and previous history of abdominal surgery. Likewise, there were no significant differences between groups regarding total operative time (P = .085), docking time (P = .196), console time (P = .211), estimated blood loss (P = .180), complications (P = .991), length of hospital stay (P = .598), and rough costs (P = .468). Five cases were converted to open surgery. Nonobese cases required additional analgesia (P = .007). We had no unexpected hospitalizations in either group. Conclusion. Guidelines express the advantages of robotic surgery in obese patients. No stAtıştically significant differences were detected between the 2 groups except for the additional analgesia required in nonobese patients.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue6
dc.description.openaccessNO
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume26
dc.identifier.doi10.1177/1553350619858854
dc.identifier.eissn1553-3514
dc.identifier.issn1553-3506
dc.identifier.quartileQ3
dc.identifier.scopus2-s2.0-85068386294
dc.identifier.urihttps://doi.org/10.1177/1553350619858854
dc.identifier.urihttps://hdl.handle.net/20.500.14288/10323
dc.identifier.wos495310800006
dc.keywordsObesity
dc.keywordsAdrenal
dc.keywordsRobotics
dc.keywordsMinimally invasive surgery
dc.keywordsObesity
dc.keywordsOverweight
dc.keywordsSurgery
dc.language.isoeng
dc.publisherSage
dc.relation.ispartofSurgical Innovation
dc.subjectSurgery
dc.titleThe impact of body mass index on perioperative outcomes of robotic adrenalectomy: an update
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorAğcaoğlu, Orhan
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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relation.isParentOrgUnitOfPublication17f2dc8e-6e54-4fa8-b5e0-d6415123a93e
relation.isParentOrgUnitOfPublication.latestForDiscovery17f2dc8e-6e54-4fa8-b5e0-d6415123a93e

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