Department of Obstetrics and Gynecology, Virginia Commonwealth University Medical Center, Richmond, VA 23298, USA.
J Minim Invasive Gynecol. 2010 Sep-Oct;17(5):583-6. doi: 10.1016/j.jmig.2010.04.008. Epub 2010 Jul 2.
To estimate whether variability in the size and ratios of the lower and upper abdomen exist in women undergoing robotic gynecologic surgery and whether demographic variables are significantly associated, and to determine the association between abdominal wall dimensions and supraumbilical robotic port placement.
Prospective cohort study (Canadian Task Force classification II-2).
University teaching hospital.
Seventy-eight women undergoing robotic surgery between May 2008 and March 2009.
Measurements from the symphysis pubis to the umbilicus (lower abdomen), umbilicus to the xyphoid process (upper abdomen), and distance between the anterior superior iliac crests were obtained at surgery. A multiple linear regression model was created to determine the relationships between abdominal wall measurements, demographic variables, and need for supraumbilical robotic port placement.
Fifty-six white and 22 black women were enrolled. Mean lower abdominal length was significantly affected by body mass index (BMI) (p <.001) and race (p = .006), with white women having longer measurements (17.1 cm vs 15 cm). Mean lower abdominal width was independent of age (p = .95) or race (p = .98), but was significantly correlated with BMI (p <.001). Mean upper abdominal length correlated with BMI (p <.001) and age (p = .03) but not race (p = .13). Ratios of bottom to top were significantly affected by race (p = .002) and age (p = .008) but not BMI (p = .07). Adjustments to port placement above the umbilicus were made in 44 of the 74 women (59.5%). Those who required supraumbilical port placement had a significantly shorter mean (SD) distance between the symphysis pubis and the umbilicus (14.99 [1.36] vs 18.55 [2.21]; p <.001).
Significant variability in abdominal wall anatomy exists in women undergoing robotic gynecologic surgery, and the need for supraumbilical robotic port placement is common.
评估行机器人妇科手术的女性的下腹部和上腹部大小和比例是否存在差异，以及这些差异是否与人口统计学变量显著相关，并确定腹壁尺寸与脐上机器人端口放置的关系。
前瞻性队列研究（加拿大任务组分类 II-2）。
大学教学医院。
2008 年 5 月至 2009 年 3 月期间行机器人手术的 78 名女性。
在手术中获取耻骨联合至脐（下腹部）、脐至剑突（上腹部）和前上髂嵴之间的距离。建立多元线性回归模型以确定腹壁测量值、人口统计学变量与脐上机器人端口放置的需求之间的关系。
纳入 56 名白人女性和 22 名黑人女性。下腹部的平均长度受 BMI（体重指数）（p<.001）和种族（p=0.006）的显著影响，白人女性的测量值更长（17.1cm 比 15cm）。下腹部的平均宽度与年龄（p=0.95）或种族（p=0.98）无关，但与 BMI 显著相关（p<.001）。上腹部的平均长度与 BMI（p<.001）和年龄（p=0.03）相关，但与种族无关（p=0.13）。底部到顶部的比例受种族（p=0.002）和年龄（p=0.008）的显著影响，但不受 BMI（p=0.07）的影响。44 名（59.5%）74 名女性需要在脐上调整端口放置。需要脐上端口放置的患者耻骨联合与脐之间的平均（SD）距离明显更短（14.99[1.36] vs 18.55[2.21]；p<.001）。
行机器人妇科手术的女性的腹壁解剖结构存在显著差异，且需要脐上机器人端口放置的情况较为常见。
