Single-port access total laparoscopic hysterectomy: Impact of body mass index on surgical outcomes. |
Dong Su Park, Jee Eun Lee, Uk Jin Oh, Yoonjung Lee, Taejong Song, Mi La Kim, Bo Sung Yoon, Seok Ju Seong, In Hyun Kim |
1Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University College of Medicine, Seoul, Korea. songtaejong@naver.com 2Department of Obstetrics and Gynecology, CHA Daegu Women's Medical Center, CHA University College of Medicine, Seoul, Korea. |
|
Abstract |
OBJECTIVE The objective of the present study was to evaluate the impact of body mass index (BMI) on the surgical outcomes of single-port access (SPA) total laparoscopic hysterectomy (TLH). METHODS: We reviewed the medical records of 111 women who underwent SPA-TLH at the Department of Obstetrics and Gynecology, CHA Medical Center, CHA University College of Medicine between January 2010 and December 2010. Women were classified according to their BMI, with a cutoff value of 25 kg/m2. RESULTS: Of 111 women undergoing SPA-TLH, 30 women (27%) with BMI> or =25 kg/m2 (obese group) and 81 women (73%) with BMI<25 kg/m2 (non-obese group) were identified. The median operative time was 107.5 minutes (range, 70 to 200 minutes) and 95.0 minutes (range, 55 to 205 minutes), respectively in the obese and non-obese groups, with statistical significance (P = 0.010). There was no significant difference in other surgical outcomes including estimated blood loss, change in hemoglobin, uterine weight, perioperative complications, transfusion, and conversion to multi-port access laparoscopy between two groups. CONCLUSION: In our experience, the surgical outcomes had no difference between obese and non-obese women, although the operative time for obese women was longer. |
Key Words:
Single-port, Hysterectomy, Laparoscopy, Body mass index, Obesity |
|