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• W2056902110 abstract "<h2>Abstract</h2><h3>Objectives</h3> To assess the outcome and safety of tubeless percutaneous renal surgery in overweight and obese patients. <h3>Methods</h3> A single urologist performed tubeless percutaneous renal surgery on a total of 138 renal units in 133 patients from March 1996 to January 2003. The tubeless procedures consisted of either nephrolithotripsy or endopyelotomy. We analyzed the clinical data of a subset of these patients who were of considered normal weight (body mass index [BMI] 18.5 kg/m² or greater but less than 25 kg/m²), overweight (BMI 25 kg/m² or greater but less than 30 kg/m²), obese (BMI 30 kg/m² or greater but less than 40 kg/m²), and morbidly obese (BMI 40 kg/m² or greater). <h3>Results</h3> Of the 133 patients, 5 (3.8%) were considered morbidly obese, 28 (21.1%) were considered obese, 55 (41.4%) were considered overweight, and 45 (34%) were considered to be of normal weight. Of the 133 patients, 104 underwent percutaneous stone extraction and 29 underwent percutaneous antegrade endopyelotomy. Using unpaired <i>t</i> testing, BMI was compared with the transfusion rates, days of hospitalization, and stone-free outcome. The stone group did not demonstrate statistically significant relationships between BMI and transfusion rate, length of hospitalization, and stone-free outcome (<i>P</i> = 0.423, <i>P</i> = 0.105, and <i>P</i> = 0.127, respectively). A stone-free rate of 94.5% was achieved. In the endopyelotomy group, 29 patients were analyzed. Follow-up showed 24 patients (82.8%) had successful resolution of the ureteropelvic junction obstruction 1 year postoperatively. Two patients required readmission for gross hematuria and low hematocrit. One patient required selective angiographic embolization of a pseudoaneurysm. <h3>Conclusions</h3> Tubeless percutaneous renal surgery is a safe and effective procedure in overweight, obese, and morbidly obese patients." @default.
• W2056902110 created "2016-06-24" @default.
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• W2056902110 date "2004-06-01" @default.
• W2056902110 modified "2023-09-27" @default.
• W2056902110 title "Tubeless percutaneous renal surgery in obese patients" @default.
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• W2056902110 doi "https://doi.org/10.1016/j.urology.2004.01.051" @default.
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