CT画像における脂肪面積解析による肥満と鏡視下ドナー腎摘出術の手術因子との関連性の検討

熊澤 光明, 土谷 順彦, 小原 崇, 鶴田 大, 齋藤 満, 成田 伸太郎, 堀川 洋平, 佐藤 滋, 羽渕 友則

doi:10.11302/jsejje.24.104

We retrospectively attempted to identify obesity indexes which affected operative difficulty in 48 transperitoneal laparoscopic donor nephrectomy（TN） and 44 retroperitoneoscopic donor nephrectomy（RN）. We measured fat thickness and fat areas on preoperative computerized tomography （CT） images. These factors were used to categorize the subjects into the obesity and non-obesity groups with each median value. The operative time and estimated blood loss were compared between the two groups. There was no statistically significant difference between any indexes and intraoperative factors in the TN group. The patients in the obesity group categorized by perirenal fat thickness and visceral fat area in RN had significantly greater estimated blood loss than those in the non-obesity group. Furthermore, patiens in the obesity group categorized by perirenal fat area in RN had significantly greater estimated blood loss and longer operating time than those with the non-obesity group. The results indicate that the visceral fat, especially perirenal fat measured using CT scan imaging influences operating time and estimated loss in RN, but not in TN.

CT画像における脂肪面積解析による肥満と鏡視下ドナー腎摘出術の手術因子との関連性の検討

Bibliographic Information

Search this article

Description

Journal

References(9)*help

Keywords

Details 詳細情報について

Export

Report a problem