Bai Sang Wook, Lim Jae Hak, Kim Jung Yeon, Chung Kyung Ah, Kim Sei Kwang, Park Ki Hyun
Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Shinchon-dong 134 Sudaemun-gu, Seoul, Korea.
J Am Assoc Gynecol Laparosc. 2002 May;9(2):165-9. doi: 10.1016/s1074-3804(05)60125-9.
To determine whether obesity increases risk of performing laparoscopic gynecologic surgery in Korean women.
Retrospective analysis over 35 consecutive months (Canadian Task Force classification II-2).
University-affiliated hospital.
Two hundred seventy-seven women who underwent gynecologic laparoscopic surgery.
Patients were analyzed by chart review.
Obesity was defined as body mass index (BMI) 25 kg/m(2) or greater. Patients were categorized on the basis of BMI [weight (kg)/height(2) (m(2))] as obese (BMI > or =25, 74 women) or nonobese (BMI < 25, 203). Each group was further divided into three subgroups according to operation difficulty. No significant differences in patient age, parity, menopausal status, medicosurgical illness, or history of intraabdominal surgery were apparent between groups, except for distribution of operation difficulty and adhesion grade; however, the adhesion grade was evenly distributed in each operation grade subgroup. In the two BMI groups, no significant differences were seen in surgical values (estimated blood loss, operating time, operative complications, postoperative complications, hospital stay, rate of conversion to laparotomy).
Obesity had generally been thought to increase the risk of laparoscopic surgery. In our study in obese Korean women, however, it did not seem to increase the risk, and gynecologic laparoscopic surgery was performed safely.
确定肥胖是否会增加韩国女性进行腹腔镜妇科手术的风险。
对连续35个月的数据进行回顾性分析（加拿大工作组分类II-2）。
大学附属医院。
277例行妇科腹腔镜手术的女性。
通过病历审查对患者进行分析。
肥胖定义为体重指数（BMI）达到或超过25kg/m²。患者根据BMI[体重（kg）/身高²（m²）]分为肥胖组（BMI≥25，74例女性）和非肥胖组（BMI<25，203例）。每组再根据手术难度进一步分为三个亚组。除手术难度分布和粘连分级外，两组在患者年龄、产次、绝经状态、内科手术疾病或腹部手术史方面无显著差异；然而，粘连分级在每个手术分级亚组中分布均匀。在两个BMI组中，手术相关指标（估计失血量、手术时间、手术并发症、术后并发症、住院时间、剖腹手术转换率）无显著差异。
一般认为肥胖会增加腹腔镜手术风险。然而，在我们对肥胖韩国女性的研究中，肥胖似乎并未增加风险，妇科腹腔镜手术得以安全进行。
