Effects of Obesity on the Perioperative Results and Continence Status in Laparoscopic Radical Prostatectomy

• Published in: Journal of urological surgery Vol. 4; no. 4; pp. 183 - 188
• Main Authors: Kaygısız, Onur, Özmerdiven, Çağdaş Gökhun, Aytaç Vuruşkan, Berna, Coşkun, Burhan, Günseren, Kadir Ömür, Kordan, Yakup, Yavaşçaoğlu, İsmet, Vuruşkan, Hakan
• Format: Journal Article
• Language: English
• Published: Ankara Society of Urological Surgery 01-12-2017; Galenos Publishing House; Galenos Yayinevi
• Subjects: Antigens; Body mass index; Cancer surgery; Cancer therapies; laparoscopic surgery; Laparoscopy; Mortality; Obesity; Patients; Prostate cancer; prostatectomy; Robots; Statistical analysis; Studies; Surgical outcomes; Systematic review; Tıp; Urological surgery; Urology; Ankara; United States > US; Turkey; Body mass index; obezite; laparoscopic surgery; Vücut kitle indeksi; prostatectomy; laparoskopik cerrahi; obesity; prostatektomi
• ISSN: 2148-9580; 2148-7332; 2148-9580; 2148-7332
• DOI: 10.4274/jus.1699

Objective: To assess the effects of obesity on the surgical success and perioperative results and continence status in laparoscopic radical
prostatectomy (LRP).
Materials and Methods: The results of 300 consecutive patients undergoing LRP between April 2004 and January 2014 were analyzed retrospectively.
Twenty patients were excluded from the study, thus, 280 patients remained. The patients were separated into 3 groups according to their body mass
index. Based on this classification, group 1 (<25 kg/m2) was normal, group 2 (25–30 kg/m2) was overweight, and group 3 (>30 kg/m2) was obese.
The demographic data, intraoperative results, pathological results, and states of continence were compared among the groups.
Results: There were 81 patients in group 1, 152 patients in group 2, and 47 patients in group 3. There were no significant differences when the
groups were compared according to age and prostate specific antigen values. The intraoperative blood loss was high in group 3 only. Moreover, the
estimated blood loss, transfusion, operative time, bilateral nerve-sparing rate, hospitalization days, and complication rate were similar between the
groups. There were no significant differences when the pathological results were compared according to the positive surgical margins and Gleason
scores. Although the continence rates in group 3 were significantly low 6 months after the operation (p<0.05), the results were similar at 1 year
(p=0.738).
Conclusion: LRP can be applied confidently in obese patients as well as normal and overweight patients.