Holub Z, Jabor A, Kliment L, Fischlová D, Wágnerová M
Head of Department Obstetrics and Gynaecology, Baby Friendly Hospital, Vancurova 1548, 272 58, Kladno, Czech Republic.
Eur J Obstet Gynecol Reprod Biol. 2001 Sep;98(1):77-82. doi: 10.1016/s0301-2115(00)00565-0.
To compare perioperative and postoperative outcomes of laparoscopic hysterectomy (LH) in surgical management of gynecological conditions in two groups of different weight.
A prospective comparative clinical study of 271 LH performed for disease of female pelvic organs in a group of 54 obese patients (over 30 body mass index (BMI)) and in a group of 217 non-obese patients (less than 30 BMI). The following criteria were assessed: patient characteristics, indications for surgery, previous surgery, presence of adhesions, duration of procedure, blood loss, weight of specimen, hospital stay and complications. Statistical analysis was performed using the unpaired t-test and non-parametric Chi-square test when appropriate, with a significance level of P=0.05.
Three non-obese patients were converted to laparotomy due to operative complications. Laparoscopy in the remaining 268 patients (98.89%) was completed successfully. There was no significant difference in estimated blood loss, presence and degree of adhesions, weight of specimen, length of hospital stay and postoperative complications between women with high BMI and those with low BMI. The rate of major operative complications (5.55% versus 3.22%) was higher in the obese group. The duration of the operation was longer in obese women. However, the significance of the difference was borderline (P=0.06).
比较两组不同体重患者行腹腔镜子宫切除术（LH）治疗妇科疾病的围手术期和术后结果。
对54例肥胖患者（体重指数（BMI）超过30）和217例非肥胖患者（BMI低于30）进行的271例因女性盆腔器官疾病而行LH的前瞻性对比临床研究。评估以下标准：患者特征、手术指征、既往手术史、粘连情况、手术时间、失血量、标本重量、住院时间及并发症。在适当情况下使用非配对t检验和非参数卡方检验进行统计分析，显著性水平为P = 0.05。
3例非肥胖患者因手术并发症转为开腹手术。其余268例患者（98.89%）腹腔镜手术成功完成。高BMI女性和低BMI女性之间在估计失血量、粘连的存在和程度、标本重量、住院时间和术后并发症方面无显著差异。肥胖组主要手术并发症发生率（5.55%对3.22%）更高。肥胖女性的手术时间更长。然而，差异的显著性处于临界值（P = 0.06）。
