Impact of Obesity on Robotic-Assisted Sacrocolpopexy

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• 作者：Lindsay M. Kissane ; MD^a ; ^{Lkissane@uabmc.edu} ; Rose Calixte ; PhD^b ; Bogdan Grigorescu ; MD^c ; Peter Finamore ; MD^e ; Anthony Vintzileos ; MD^d
• 关键词：Obesity ; Operative time ; Outcomes ; Pelvic organ prolapse ; Robotic ; Sacrocolpopexy
• 刊名：Journal of Minimally Invasive Gynecology
• 出版年：2017
• 出版时间：1 January 2017
• 年：2017
• 卷：24
• 期：1
• 页码：36-40
• 全文大小：230 K
• 卷排序：24

文摘

To compare operative time in women stratified by body mass index (BMI) undergoing robotic-assisted sacrocolpopexy (RASC). Secondary objectives included characterizing perioperative characteristics and reoperation rates.DesignRetrospective cohort study (Canadian Task Force classification II-2).SettingUniversity-affiliated teaching hospital.PatientsOne hundred seventy-nine consecutive patients who underwent RASC by a single surgeon from 2009 through 2013.InterventionsRASC.Measurements and Main ResultsOf 179 patients, 61 (34%) were normal weight (BMI < 25 kg/m2), 72 (40%) were overweight (BMI 25–30 kg/m2), and 46 (26%) were obese (BMI ≥ 30 kg/m2). Overweight patients were significantly older, more parous, more frequently postmenopausal, and more frequently underwent concomitant salpingo-oophorectomy. Median operative times were 202, 206, and 216 minutes in the normal-weight, overweight, and obese groups, respectively (p = .53).ConclusionObese women undergoing RASC have similar operative time and procedural characteristics as normal-weight and overweight patients. Longer term outcomes are needed to ensure comparable surgical and anatomic success.