Menzella D, Thubert T, Joubert M, Lauratet B, Kouchner P, Lefranc J-P
Service de chirurgie générale viscérale endocrinienne et gynécologique, groupe hospitalier La Pitié-Salpétrière, AP-HP, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France.
Prog Urol. 2013 Dec;23(17):1482-8. doi: 10.1016/j.purol.2013.08.327. Epub 2013 Oct 2.
The aim of our study was to assess the impact of body mass index (BMI) on a robot-assisted laparoscopic sacrocolpopexy (RALS) to treat genital prolapse.
The study focused on a group of 56 women who went through a robot-assisted laparoscopic sacrocolpopexy (RALS) between 2009 and 2013. Patients were divided into 3 groups according to their BMI (kg/m(2)): BMI<25 (n=28), 25≤BMI<30 (n=16), BMI≥30 (n=12). The operating parameters, results and short-term complications were analysed according to the patients' BMI.
The median BMI was 22.5kg/m(2) in group 1, 26.1kg/m(2) in group 2, and 31.6kg/m(2) in group 3 (P<0.001). The operation time was respectively 250 minutes (130-380), 230 minutes (150-410) and 255 minutes (170-370), for groups 1, 2 and 3 (P=0.689). The 3 groups spent 4 days in the hospital (P=0.562). Only one laparotomy in group 3 was reported (P=0.214). The rate of early complications was similar in groups 1, 2 and 3 with 3/28, 0/16 and 0/12 respectively. Anatomical short-term results were identical in the 3 groups with a satisfactory anatomical correction in 100% of all cases (ICS POP-Q<2).
In this small group, we observed that the BMI had no impact neither on the operation time nor on the rate of complication.
我们研究的目的是评估体重指数（BMI）对机器人辅助腹腔镜骶骨阴道固定术（RALS）治疗生殖器脱垂的影响。
该研究聚焦于2009年至2013年间接受机器人辅助腹腔镜骶骨阴道固定术（RALS）的56名女性。根据患者的BMI（kg/m²）将患者分为3组：BMI<25（n = 28），25≤BMI<30（n = 16），BMI≥30（n = 12）。根据患者的BMI分析手术参数、结果和短期并发症。
第1组的中位BMI为22.5kg/m²，第2组为26.1kg/m²，第3组为31.6kg/m²（P<0.001）。第1、2和3组的手术时间分别为250分钟（130 - 380）、230分钟（150 - 410）和255分钟（170 - 370）（P = 0.689）。3组患者的住院时间均为4天（P = 0.562）。仅第3组报告了1例剖腹手术（P = 0.214）。第1、2和3组的早期并发症发生率相似，分别为3/28、0/16和0/12。3组的解剖学短期结果相同，所有病例中有100%的解剖学矫正结果令人满意（国际尿控学会盆腔器官脱垂定量分期系统（ICS POP-Q）<2）。
在这个小样本中，我们观察到BMI对手术时间和并发症发生率均无影响。
