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KMID : 0358420120550080559
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Korean Journal of Obstetrics and Gynecology
2012 Volume.55 No. 8 p.559 ~ p.563
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Single-port access total laparoscopic hysterectomy: Impact of body mass index on surgical outcomes
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Park Dong-Su
Lee Jee-Eun
Oh Uk-Jin
Lee Yoon-Jung
Song Tae-Jong
Kim Mi-La
Yoon Bo-Sung
Seong Seok-Ju
Kim In-Hyun
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Abstract
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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≥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.
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KEYWORD
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Single-port, Hysterectomy, Laparoscopy, Body mass index, Obesity
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