Servicio de Urología Laparoscópica, Hospital General de México "Dr. Eduardo Liceaga", CDMX-México.
Servicio de Urología, Hospital San Ángel Inn Universidad, CDMX-México.
Arch Esp Urol. 2022 Aug;75(6):539-543. doi: 10.56434/j.arch.esp.urol.20227506.79.
To compare the perioperative results of adult and elderly patients undergoing laparoscopic renal surgery.
Retrospective, analytical study. 448 who underwent kidney surgery for benign or malignant pathologies between 2011-2019 were included in the General Hospital of Mexico "Dr. Eduardo Liceaga". They were categorized into two groups: Group 1 <60 years and Group 2 >60 years. Descriptive statistics and bivariate analysis were performed, the calculations were performed with 95% reliability and a value of (<0.05).
In the group over 60 years of age, the following was found: Age: 67.1 years (60-83). IMC 28.3 kg/m (19-48.7). Intra and postsurgical outcomes: intraoperative bleeding = 184.4cc (5-1700). Surgical Time = 112.6min (30-240). Days of hospital stay = 2 (1-7). Complications in 2.6% (Clavien-Dindo: I = 2; II = 1), no conversion was required in any patient. There were no statistically significant differences with group 1, an exception for intraoperative bleeding.
Our study is a pioneer in Latin America in the evaluation of the geriatric population and outcomes with laparoscopic surgery and we recommend that renal procedures with a laparoscopic approach should be considered as the best strategy in the management of benign or malignant renal pathology in geriatric patients.
比较成人和老年患者接受腹腔镜肾手术的围手术期结果。
回顾性、分析性研究。纳入了 2011 年至 2019 年间在墨西哥“Eduardo Liceaga”综合医院因良性或恶性病变接受肾脏手术的 448 例患者。他们被分为两组：第 1 组 <60 岁，第 2 组 >60 岁。进行了描述性统计和双变量分析，计算在 95%置信度和 <0.05 值下进行。
在 60 岁以上的年龄组中，发现：年龄：67.1 岁（60-83 岁）。BMI 28.3kg/m²（19-48.7）。围手术期结果：术中出血量=184.4cc（5-1700）。手术时间=112.6 分钟（30-240）。住院天数=2 天（1-7）。并发症发生率为 2.6%（Clavien-Dindo：I=2；II=1），无患者需要转为开放手术。与第 1 组相比，除术中出血量外，无统计学差异。
我们的研究是拉丁美洲首例对老年人群进行腹腔镜手术的评估和结果的研究，我们建议对于老年患者的良性或恶性肾脏病变，采用腹腔镜手术应被视为最佳治疗策略。
