Gallo Taryn, Kashani Shabnam, Patel Divya A, Elsahwi Karim, Silasi Dan-Arin, Azodi Masoud
Yale New Haven Health/Bridgeport Hospital, Department of Obstetrics & Gynecology, Minimally Invasive Gynecologic Surgery Fellowship Program, Bridgeport, CT, USA.
JSLS. 2012 Jul-Sep;16(3):421-7. doi: 10.4293/108680812X13462882735890.
To describe patient characteristics and perioperative outcomes among women undergoing roboticassisted laparoscopic hysterectomy and to evaluate the characteristics of nonobese, obese, and morbidly obese patients.
A retrospective review was conducted of 442 cases of women who underwent robotic-assisted laparoscopic hysterectomy for benign and malignant conditions over a 4-y period at an academic and community teaching hospital. Patient demographics, surgical indications, operative outcomes, and complications were evaluated for patients with a body mass index (BMI) <30 kg/m(2), 30 kg/m(2) to 39.9 kg/m(2), and ≥40 kg/m(2).
Of the 442 patients, 257 (58%) were obese or morbidly obese, with a BMI of ≥30 kg/m(2). Overall, the median estimated blood loss was 100 mL (range, 10 to 800), the operative time was 135 min (range, 40 to 436), and the length of stay was 1 d (range, 0 to 22). These did not differ significantly by BMI group. Overall, 11.9% of patients experienced complications (7.9% minor, 4.1% major), and this did not differ significantly across BMI groups.
Robotic hysterectomy can be performed safely in obese and morbidly obese patients, with surgical outcomes and complications similar to those in nonobese patients.
描述接受机器人辅助腹腔镜子宫切除术的女性患者特征及围手术期结局，并评估非肥胖、肥胖和病态肥胖患者的特征。
对一家学术和社区教学医院4年间442例因良性和恶性疾病接受机器人辅助腹腔镜子宫切除术的女性患者进行回顾性研究。对体重指数（BMI）<30kg/m²、30kg/m²至39.9kg/m²和≥40kg/m²的患者的人口统计学资料、手术指征、手术结局及并发症进行评估。
442例患者中，257例（58%）为肥胖或病态肥胖，BMI≥30kg/m²。总体而言，估计失血量中位数为100ml（范围10至800ml），手术时间为135分钟（范围40至436分钟），住院时间为1天（范围0至22天）。这些指标在不同BMI组间无显著差异。总体而言，11.9%的患者出现并发症（轻度7.9%，重度4.1%），不同BMI组间无显著差异。
机器人子宫切除术可安全地应用于肥胖和病态肥胖患者，手术结局及并发症与非肥胖患者相似。
