Imai Ken, Chikazawa Kenro, Ito Takaki, Kimura Azusa, Ko Hiroyoshi, Miho Yokota, Kuwata Tomoyuki, Konno Ryo
Department of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Gynecol Minim Invasive Ther. 2021 Jan 30;10(1):44-46. doi: 10.4103/GMIT.GMIT_73_20. eCollection 2021 Jan-Mar.
Investigate the efficacy of a hospitalized weight reduction program before laparoscopic surgery among high body mass index (BMI) patients with endometrial cancer. The patients were housed in a shared room, received exercise guidance, and restricted to a total caloric intake of 1200 kcal. A physiotherapist and a dietitian provided pedometer and nutritional guidance, respectively. The primary outcome was weight reduction. Among the 16 patients included, 12 (75%) had Stage I endometrial cancer and 10 (62.5%) underwent laparoscopic surgery. Weight and BMI at first consultation were 88.4±10.4 kg and 34.8±3.9 kg/m2, respectively. The rate of weight reduction was 6.5%±2.5%; on average, BMI decreased by 2.1±1.0 kg/m. The duration from initial consultation to surgery was 39.1±11.4 days. Hospitalization duration until weight reduction was 20.8±8.0 days; there were no surgical complications. Our hospitalized weight reduction program may be effective for obese endometrial cancer patients.
研究针对高体重指数（BMI）的子宫内膜癌患者在腹腔镜手术前进行住院减重计划的效果。患者被安置在共享病房，接受运动指导，并将总热量摄入限制在1200千卡。一名物理治疗师和一名营养师分别提供计步器和营养指导。主要结果是体重减轻。在纳入的16例患者中，12例（75%）患有I期子宫内膜癌，10例（62.5%）接受了腹腔镜手术。首次咨询时的体重和BMI分别为88.4±10.4千克和34.8±3.9千克/平方米。体重减轻率为6.5%±2.5%；平均而言，BMI下降了2.1±1.0千克/平方米。从初次咨询到手术的时间为39.1±11.4天。直至体重减轻的住院时间为20.8±8.0天；无手术并发症。我们的住院减重计划可能对肥胖的子宫内膜癌患者有效。
