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- Title
What's the Impact of the Obesity on the Safety of Laparoscopic Hysterectomy Techniques?
- Authors
Kondo, William; Bourdel, Nicolas; Marengo, Francesca; Botchorishvili, Revaz; Pouly, Jean Luc; Jardon, Kris; Rabischong, Benoit; Mage, Gérard; Canis, Michel
- Abstract
Objective: To evaluate the impact of obesity in the safety of laparoscopic hysterectomy. Study Design: A retrospective study was conducted using a database of 2271 women undergoing laparoscopic hysterectomy for benign diseases between January 1995 and December 2008 at the Centre Hospitalier Universitaire Estaing (Clermont-Ferrand, France). Patients were divided into two groups according to the body mass index: <30 kg/m2 ( n=2088) and ≥30 kg/m2 ( n=183). Primary outcomes were differences in conversion rates, operating time, estimated blood loss, intraoperative complications, and early postoperative complications. Results: There was no difference in the operative time (121.3 versus 122.5 minutes; P=.71), in the difference between pre- and postoperative hemoglobin levels (1.8 versus 1.6 g/dL; P=.28), and in the conversion rate (4.6% versus 5.5%; P=.62) comparing the two groups. The overall intraoperative complication rate was 14.03% ( n=293) and 13.66% ( n=25) for nonobese and obese patients ( P=.89), respectively. The overall postoperative complication rate was 8.81% ( n=184) and 7.65% ( n=14), respectively. Conclusions: Obesity does not have an adverse effect on the feasibility and safety of laparoscopic hysterectomy in experienced hands.
- Subjects
LAPAROSCOPIC surgery; HYSTERECTOMY; SURGERY safety measures; OBESITY; RETROSPECTIVE studies; SURGICAL complications; MEDICAL statistics
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2012, Vol 22, Issue 10, p949
- ISSN
1092-6429
- Publication type
Article
- DOI
10.1089/lap.2012.0213