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Impact of Body Mass Index on Robot-Assisted Radical Cystectomy

BACKGROUND AND OBJECTIVES: Obesity is a major comorbidity in the Western world and influences outcomes of patient care. A minimally invasive approach towards radical cystectomy has been increasing in popularity. We sought to determine the influence of body mass index (BMI) on robot-assisted radical...

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Autores principales: Butt, Zubair M., Perlmutter, Adam E., Piacente, Pamela M., Wilding, Gregory, Tan, Wei, Kim, Hyung L., Mohler, James L., Guru, Khurshid A.
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015874/
https://www.ncbi.nlm.nih.gov/pubmed/18765045
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author Butt, Zubair M.
Perlmutter, Adam E.
Piacente, Pamela M.
Wilding, Gregory
Tan, Wei
Kim, Hyung L.
Mohler, James L.
Guru, Khurshid A.
author_facet Butt, Zubair M.
Perlmutter, Adam E.
Piacente, Pamela M.
Wilding, Gregory
Tan, Wei
Kim, Hyung L.
Mohler, James L.
Guru, Khurshid A.
author_sort Butt, Zubair M.
collection PubMed
description BACKGROUND AND OBJECTIVES: Obesity is a major comorbidity in the Western world and influences outcomes of patient care. A minimally invasive approach towards radical cystectomy has been increasing in popularity. We sought to determine the influence of body mass index (BMI) on robot-assisted radical cystectomy. METHODS: Fifty-one consecutive patients underwent robot-assisted radical cystectomy for bladder cancer from October 2005 to April 2007 and were categorized into 3 groups based on their weight: normal (BMI <25), over-weight (BMI=25 to 29) and obese (BMI= 30 to 39.9). Effect of BMI on intraoperative, pathologic, and postoperative outcomes was assessed by retrospective review of the robot-assisted radical cystectomy database. RESULTS: Mean BMI was 28.0, and 71% of the patients were overweight or obese. BMI did not correlate with age, sex, or American Society of Anesthesiologists (ASA) score. Overweight and obese patients had similar operative times and estimated blood loss compared with patients with normal BMI. Overweight and obese patients with bulky disease (pT3–4) had significantly higher rates of positive surgical margins (P=0.05). Complication rates were similar. CONCLUSION: Robotic-assisted radical cystectomy can be considered for patients of all body mass indices. Wider excision should be performed in patients with higher BMI.
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spelling pubmed-30158742011-02-17 Impact of Body Mass Index on Robot-Assisted Radical Cystectomy Butt, Zubair M. Perlmutter, Adam E. Piacente, Pamela M. Wilding, Gregory Tan, Wei Kim, Hyung L. Mohler, James L. Guru, Khurshid A. JSLS Scientific Papers BACKGROUND AND OBJECTIVES: Obesity is a major comorbidity in the Western world and influences outcomes of patient care. A minimally invasive approach towards radical cystectomy has been increasing in popularity. We sought to determine the influence of body mass index (BMI) on robot-assisted radical cystectomy. METHODS: Fifty-one consecutive patients underwent robot-assisted radical cystectomy for bladder cancer from October 2005 to April 2007 and were categorized into 3 groups based on their weight: normal (BMI <25), over-weight (BMI=25 to 29) and obese (BMI= 30 to 39.9). Effect of BMI on intraoperative, pathologic, and postoperative outcomes was assessed by retrospective review of the robot-assisted radical cystectomy database. RESULTS: Mean BMI was 28.0, and 71% of the patients were overweight or obese. BMI did not correlate with age, sex, or American Society of Anesthesiologists (ASA) score. Overweight and obese patients had similar operative times and estimated blood loss compared with patients with normal BMI. Overweight and obese patients with bulky disease (pT3–4) had significantly higher rates of positive surgical margins (P=0.05). Complication rates were similar. CONCLUSION: Robotic-assisted radical cystectomy can be considered for patients of all body mass indices. Wider excision should be performed in patients with higher BMI. Society of Laparoendoscopic Surgeons 2008 /pmc/articles/PMC3015874/ /pubmed/18765045 Text en © 2008 by JSLS, Journal of the Society of Laparoendoscopic Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Butt, Zubair M.
Perlmutter, Adam E.
Piacente, Pamela M.
Wilding, Gregory
Tan, Wei
Kim, Hyung L.
Mohler, James L.
Guru, Khurshid A.
Impact of Body Mass Index on Robot-Assisted Radical Cystectomy
title Impact of Body Mass Index on Robot-Assisted Radical Cystectomy
title_full Impact of Body Mass Index on Robot-Assisted Radical Cystectomy
title_fullStr Impact of Body Mass Index on Robot-Assisted Radical Cystectomy
title_full_unstemmed Impact of Body Mass Index on Robot-Assisted Radical Cystectomy
title_short Impact of Body Mass Index on Robot-Assisted Radical Cystectomy
title_sort impact of body mass index on robot-assisted radical cystectomy
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015874/
https://www.ncbi.nlm.nih.gov/pubmed/18765045
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