Nevin Manimala Statistics

Advantages and Short-Term Outcomes of Laparoscopic-Assisted Renal Surgery in Elderly Patients

Arch Esp Urol. 2022 Aug;75(6):539-543. doi: 10.56434/j.arch.esp.urol.20227506.79.


OBJECTIVE: To compare the perioperative results of adult and elderly patients undergoing laparoscopic renal surgery.

METHODOLOGY: 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 p (<0.05).

RESULTS: In the group over 60 years of age, the following was found: Age: 67.1 years (60-83). IMC 28.3 kg/m2 (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.

CONCLUSIONS: 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.

PMID:36138503 | DOI:10.56434/j.arch.esp.urol.20227506.79

By Nevin Manimala

Portfolio Website for Nevin Manimala