Single-Port Access Total Laparoscopic Hysterectomy: Impact Of Body Mass Index On Surgical Outcomes

• Published in: Obstetrics & gynecology science Vol. 55; no. 8; pp. 559 - 563
• Main Authors: Dong Su Park, Jee Eun Lee, Uk Jin Oh, Yoon Jung Lee, Tae Jong Song, Mi La Kim, Bo Sung Yoon, Seok Ju Seong, In Hyun Kim
• Format: Journal Article
• Language: Korean
• Published: 대한산부인과학회 15.08.2012
• Subjects: Body mass index; Hysterectomy; Laparoscopy; Obesity; Single-port
• ISSN: 2287-8572

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≥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.