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目的:探讨体质指数(body mass index,BMI)对后腹腔镜下肾部分切除术的手术操作及术后恢复情况的影响。方法:回顾性分析2012年1月~2014年7月于我院行后腹腔镜下肾部分切除术患者的临床资料,按BMI分为两组:非肥胖组(BMl<25kg/m2)43例,超重组(BMI≥25kg/m2)57例,分别比较两组手术时间、术中出血量、术中肾脏缺血时间、手术前后血红蛋白差值、术后住院天数、留置引流管时间、引流量,并发症发生等情况。结果:100例行后腹腔镜下肾部分切除术患者中,超重组肿瘤直径1.0~6cm,非肥胖组肿瘤直径0.5~4cm,两组患者术后引流量、引流管留置天数、术后住院天数及术后并发症发生率差异无统计学意义(P>0.05);两组手术时间分别为(151.7±48.8)min和(131.3±32.2)min,肾脏热缺血时间分别为(23.5±4.8)min和(21.3±4.7)min,术中出血量分别为(87.9±134.1)ml和(51.6±55.3)ml,手术前后血红蛋白差值分别为(17.8±16.5)g/L和(12.8±9.6)g/L,超重组指标均高于非肥胖组,差异均有统计学意义(P<0.05)。结论:对于行后腹腔镜下肾部分切除术的患者,BMl的增加将增加手术时间、术中出血量及术中肾脏热缺血时间,而对于术后的恢复及并发症的发生情况并无明显影响。
Objective: To investigate the effect of body mass index (BMI) on the operation and postoperative recovery of retroperitoneal partial nephrectomy. Methods: The clinical data of patients underwent laparoscopic retroperitoneal nephrectomy in our hospital from January 2012 to July 2014 were retrospectively analyzed. According to BMI, the data were divided into two groups: 43 patients (BMl <25kg / m2) (BMI≥25kg / m2) in 57 cases. The operative time, intraoperative blood loss, intraoperative renal ischemia time, hemoglobin difference before and after operation, hospitalization days, indwelling drainage tube time, drainage volume , Complications and so on. Results: Among the 100 patients who underwent laparoscopic partial nephrectomy, the diameter of the tumor in the overweight group was 1.0-6 cm and the diameter of the non-obese group was 0.5-4 cm. The drainage volume, the days of drainage tube indwelling, the length of postoperative hospital stay (151.7 ± 48.8) min and (131.3 ± 32.2) min, respectively. The time of warm ischemia in the kidney was (23.5 ± 4.8) days, respectively. There was no significant difference in the incidence of postoperative complications between the two groups (P> 0.05) min and (21.3 ± 4.7) min respectively, and the blood loss was (87.9 ± 134.1) ml and (51.6 ± 55.3) ml respectively. The hemoglobin difference before and after operation was (17.8 ± 16.5) g / L and (12.8 ± 9.6) g / L, overweight group were higher than non-obese group, the difference was statistically significant (P <0.05). CONCLUSIONS: For patients undergoing retroperitoneal laparoscopic partial nephrectomy, an increase in BMl will increase the duration of surgery, the volume of intraoperative blood loss, and the duration of intraoperative renal warm ischemia, but not for postoperative recovery and complications Clearly affected.