Universidad Autónoma de Sinaloa, Culiacán, Mexico.
Int J Gynaecol Obstet. 2013 Jan;120(1):61-4. doi: 10.1016/j.ijgo.2012.08.012. Epub 2012 Nov 24.
To evaluate the effect of normal body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) and obesity on clinical results among patients who underwent total laparoscopic hysterectomy (TLH).
In a prospective study at the Civil Hospital of Culiacan in Sinaloa State, Mexico, data were compared from 209 patients who underwent TLH between July 6, 2009, and December 30, 2011. The following primary variables were analyzed for 77 normal BMI patients, 82 overweight patients, and 50 obese patients: procedure duration, operative bleeding, major and minor trans-operative complications, length of hospital stay, and postoperative pain.
The mean duration of surgical procedure (P<0.001) and operative bleeding (P=0.002) were lower for patients with normal BMI compared with the other 2 groups. The rate of conversion to laparotomy was similar among the 3 groups. Overall, the frequency of complications was 6.2% (n=13/209); the frequency of complications by study group was 2.6%, 4.8%, and 14% for the normal BMI, overweight and obesity groups, respectively (P<0.05). Major complications were more frequent among patients with obesity (P=0.010).
The duration of surgical procedure and operative morbidity were found to increase, mainly owing to major complications, among patients with obesity (BMI ≥ 30).
评估正常体重指数（BMI，体重以千克为单位除以身高的平方）和肥胖对接受全腹腔镜子宫切除术（TLH）患者临床结果的影响。
在墨西哥锡那罗亚州库利亚坎市公立医院进行的一项前瞻性研究中，比较了 2009 年 7 月 6 日至 2011 年 12 月 30 日期间接受 TLH 的 209 名患者的数据。分析了 77 名正常 BMI 患者、82 名超重患者和 50 名肥胖患者的以下主要变量：手术持续时间、手术出血量、术中主要和次要并发症、住院时间和术后疼痛。
与其他 2 组相比，BMI 正常的患者手术持续时间（P<0.001）和手术出血量（P=0.002）更低。3 组中转开腹率相似。总体而言，并发症发生率为 6.2%（n=13/209）；按研究组划分，正常 BMI、超重和肥胖组的并发症发生率分别为 2.6%、4.8%和 14%（P<0.05）。肥胖患者的主要并发症更为常见（P=0.010）。
肥胖患者（BMI≥30）的手术持续时间和手术发病率增加，主要是由于严重并发症所致。
