Korean J Obstet Gynecol.  2012 Aug;55(8):559-563. 10.5468/KJOG.2012.55.8.559.

Single-port access total laparoscopic hysterectomy: Impact of body mass index on surgical outcomes

• Park DS
• Lee JE
• Oh UJ
• Lee Y
• Song T
• Kim ML
• Yoon BS
• Seong SJ
• Kim IH

• KMID: 2078105
• DOI: http://doi.org/10.5468/KJOG.2012.55.8.559

Abstract

OBJECTIVE
The objective of the present study was to evaluate the impact of body mass index (BMI) on the surgical outcomes of single-port access (SPA) total laparoscopic hysterectomy (TLH).
METHODS
We reviewed the medical records of 111 women who underwent SPA-TLH at the Department of Obstetrics and Gynecology, CHA Medical Center, CHA University College of Medicine between January 2010 and December 2010. Women were classified according to their BMI, with a cutoff value of 25 kg/m2.
RESULTS
Of 111 women undergoing SPA-TLH, 30 women (27%) with BMI> or =25 kg/m2 (obese group) and 81 women (73%) with BMI<25 kg/m2 (non-obese group) were identified. The median operative time was 107.5 minutes (range, 70 to 200 minutes) and 95.0 minutes (range, 55 to 205 minutes), respectively in the obese and non-obese groups, with statistical significance (P = 0.010). There was no significant difference in other surgical outcomes including estimated blood loss, change in hemoglobin, uterine weight, perioperative complications, transfusion, and conversion to multi-port access laparoscopy between two groups.
CONCLUSION
In our experience, the surgical outcomes had no difference between obese and non-obese women, although the operative time for obese women was longer.

Keyword

Single-port; Hysterectomy; Laparoscopy; Body mass index; Obesity

MeSH Terms

Body Mass Index
Female
Gynecology
Hemoglobins
Humans
Hysterectomy
Laparoscopy
Medical Records
Obesity
Obstetrics
Operative Time
Hemoglobins

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