03 November 2023: Clinical Research
Impact of Visceral Fat Area on Intraoperative Complexity and Surgical Approach Decision for Robot-Assisted Partial Nephrectomy: A Comparative Analysis with BMI
Bo Cui 12ABCDEF* , Yulan Chen 1BCDEF* , Xinran Chen 1BC , Tao Wang 1BCD , Li Wang 1CDE , Fan Liu 1BCD , Qing Ouyang 1BC , Xiangyi Zhang 3BC , Yu Gao 2ADEG* , Xin Ma 2ADEFG*DOI: 10.12659/MSM.941953
Med Sci Monit 2023; 29:e941953
Table 1 Demographic and clinicopathological parameters between visceral obese and non-obese by VFA.
| Parameter | Patients (n=213) | VFA ≥100 cm2 (n=121) | VFA <100 cm2 (n=92) | p-value |
|---|---|---|---|---|
| Age, median (IQR), years | 54.0 (48.0, 63.0) | 49.0 (40.0, 62.0) | 0.011* | |
| Gender, n | 213 | 121 | 92 | * |
| Male, n (%) | 145 | 104 (86.0) | 41 (44.6) | |
| Female, n (%) | 68 | 17 (14.0) | 51 (55.4) | |
| Tumor laterality, n | 213 | 121 | 92 | 0.042* |
| Right, n (%) | 108 | 54 (44.6) | 54 (58.7) | |
| Left, n (%) | 105 | 67 (55.4) | 38 (41.3) | |
| Approach, n | 213 | 121 | 92 | 0.777 |
| Retroperitoneal, n (%) | 125 | 70 (57.9) | 55 (59.8) | |
| Transperitoneal, n (%) | 88 | 51 (42.1) | 37 (40.2) | |
| Tumor size, median (IQR), cm | 3.0 (2.5, 3.8) | 3.0 (2.5, 3.8) | 0.874 | |
| AJCC Stage, n | 192 | 116 | 76 | 0.158 |
| Stage I–II, n (%) | 189 | 113 (97.4) | 76 (100.0) | |
| Stage III–IV, n (%) | 3 | 3 (2.6) | 0 (0) | |
| Fuhrman grade, n | 174 | 110 | 64 | 0.662 |
| Grade 1, n (%) | 20 | 11 (10.0) | 9 (14.1) | |
| Grade 2, n (%) | 132 | 84 (76.4) | 48 (75.0) | |
| Grade 3, n (%) | 22 | 15 (13.6) | 7 (10.9) | |
| Tumor types, n | 213 | 121 | 92 | * |
| ccRCC, n (%) | 164 | 104 (86.0) | 60 (65.2) | |
| Other types, n (%) | 49 | 17 (14.0) | 32 (34.8) | |
| RENAL score, n | 213 | 121 | 92 | 0.395 |
| ≤7, n (%) | 81 | 49 (40.5) | 32 (34.8) | |
| >7, n (%) | 132 | 72 (59.5) | 60 (65.2) | |
| Data are presented as median (lower quartile, upper quartile) or n. * IQR – interquartile range; VFA – visceral fat area. | ||||