Altering the Approach: Open Minimally Invasive Renal Transplant in Obese Patients Through the Anterior Rectus Sheath
| Autor: | Joseph B. Africa, Stephen Phillips, Sharon Hill, Lorie Lipscomb |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Urology Population Operative Time 030232 urology & nephrology Rectus Abdominis Renal function 030230 surgery 03 medical and health sciences 0302 clinical medicine Postoperative Complications Anterior rectus sheath medicine Humans Minimally Invasive Surgical Procedures Renal Insufficiency Chronic education Kidney transplantation Retrospective Studies education.field_of_study business.industry Graft Survival Retrospective cohort study Perioperative Middle Aged medicine.disease Kidney Transplantation Surgery Obesity Morbid Treatment Outcome Renal transplant Female business Body mass index |
| Zdroj: | Urology. 105 |
| ISSN: | 1527-9995 |
| Popis: | Objective To retrospectively analyze the wound issues for obese renal transplant patients, as well as post-transplant outcomes including graft and patient survival, hypothesizing improvement over the standard approach. As the obese population has expanded, minimally invasive renal transplant techniques have attempted to improve the issues of complications related to wounds and hernias. The anterior rectus sheath approach, which facilitates a minimal incision, has been adopted at our center for all renal transplants, including obese patients. Methods Between January 1, 2011 and December 31, 2014, 166 renal transplants were performed at the Charleston Area Medical Center with the new approach adopted in November 2012. Of the extraperitoneal transplants, 71 adult patients were classified as morbid/severe (≥35) or obese (30-34.9) by body mass index. Demographics, perioperative results, and outcomes were retrospectively collected for the conventional (CON) and anterior rectus sheath (ARS) approaches until August 21, 2015. Results The ARS and CON groups comprised 40 of 71 (56%) and 31 of 71 (44%) patients, respectively. The majority of demographics and perioperative data indicated no significant statistical differences between procedures (P |
| Databáze: | OpenAIRE |
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