Farthing A, Chatterjee J, Joglekar-Pai P, Dorney E, Ghaem-Maghami S
West London Gynecological Cancer Centre, London, UK.
J Obstet Gynaecol. 2012 Aug;32(6):580-4. doi: 10.3109/01443615.2012.693990.
This is a retrospective observational study, where we have evaluated the role of total laparoscopic hysterectomy (TLH) in obese and morbidly obese patients with early stage endometrial cancer. Our study illustrates that low conversion rates are achievable when appropriately trained surgeons undertake this procedure. All the women with high BMI were operated on laparoscopically in preference to laparotomy, unless there was an obvious contraindication such as a very large uterus or disseminated disease. We have also shown low conversation and complication rates for our patients, in particular a low rate of wound infection. This is in contrast to the high rate of wound infection and prolonged hospital stay reported for obese patients in the literature. Our study shows that TLH for endometrial cancer in obese women is feasible, safe and is likely to be cost-effective and adds to the weight of evidence for its use in this condition.
这是一项回顾性观察研究，我们评估了全腹腔镜子宫切除术（TLH）在肥胖和病态肥胖的早期子宫内膜癌患者中的作用。我们的研究表明，经过适当培训的外科医生进行该手术时可实现低转换率。所有高BMI的女性均优先接受腹腔镜手术而非开腹手术，除非存在明显的禁忌症，如子宫非常大或有播散性疾病。我们还显示我们的患者转换率和并发症发生率较低，尤其是伤口感染率低。这与文献中报道的肥胖患者伤口感染率高和住院时间延长形成对比。我们的研究表明，肥胖女性子宫内膜癌的TLH是可行、安全的，可能具有成本效益，并增加了在这种情况下使用该手术的证据权重。
