Hysterectomy in very obese and morbidly obese patients: a systematic review with cumulative analysis of comparative studies

详细信息    查看全文

• 作者：Mathijs D. Blikkendaal ; Evelyn M. Schepers…
• 关键词：Conversion ; Hysterectomy ; Length of hospital stay ; Obesity ; Postoperative complications
• 刊名：Archives of Gynecology and Obstetrics
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：292
• 期：4
• 页码：723-738
• 全文大小：1,714 KB
• 参考文献：1.Nieboer TE, Johnson N, Lethaby A et al (2009) Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 3:CD003677PubMed
  2.Acholonu UC Jr, Chang-Jackson SC, Radjabi AR, Nezhat FR (2012) Laparoscopy for the management of early-stage endometrial cancer: from experimental to standard of care. J Minim Invasive Gynecol 19:434-42CrossRef PubMed
  3.Janda M, Gebski V, Brand A et al (2010) Quality of life after total laparoscopic hysterectomy versus total abdominal hysterectomy for stage I endometrial cancer (LACE): a randomised trial. Lancet Oncol 11:772-80CrossRef PubMed
  4.Litta P, Fabris AM, Breda E et al (2013) Laparoscopic surgical staging of endometrial cancer: does obesity influence feasibility and perioperative outcome? Eur J Gynaecol Oncol 34:231-33PubMed
  5.Mourits MJ, Bijen CB, Arts HJ et al (2010) Safety of laparoscopy versus laparotomy in early-stage endometrial cancer: a randomised trial. Lancet Oncol 11:763-71CrossRef PubMed
  6.Brezina PR, Beste TM, Nelson KH (2009) Does route of hysterectomy affect outcome in obese and non-obese women? JSLS 13:358-63PubMed Central PubMed
  7.Osler M, Daugbjerg S, Frederiksen BL, Ottesen B (2011) Body mass and risk of complications after hysterectomy on benign indications. Hum Reprod 26:1512-518CrossRef PubMed
  8.Bijen CB, de Bock GH, Vermeulen KM et al (2011) Laparoscopic hysterectomy is preferred over laparotomy in early endometrial cancer patients, however not cost effective in the very obese. Eur J Cancer 47:2158-165CrossRef PubMed
  9.Morgan-Ortiz F, Soto-Pineda JM, Lopez-Zepeda MA, Peraza-Garay FD (2012) Effect of body mass index on clinical outcomes of patients undergoing total laparoscopic hysterectomy. Int J Gynaecol Obstet 120:61-4CrossRef PubMed
  10.Siedhoff MT, Carey ET, Findley AD, Riggins LE, Garrett JM, Steege JF (2012) Effect of extreme obesity on outcomes in laparoscopic hysterectomy. J Minim Invasive Gynecol 19:701-07CrossRef PubMed
  11.Kluivers KB, Hendriks JC, Mol BW et al (2007) Quality of life and surgical outcome after total laparoscopic hysterectomy versus total abdominal hysterectomy for benign disease: a randomized, controlled trial. J Minim Invasive Gynecol 14:145-52CrossRef PubMed
  12.Isik-Akbay EF, Harmanli OH, Panganamamula UR, Akbay M, Gaughan J, Chatwani AJ (2004) Hysterectomy in obese women: a comparison of abdominal and vaginal routes. Obstet Gynecol 104:710-14CrossRef PubMed
  13.Matthews KJ, Brock E, Cohen SA, Chelmow D (2014) Hysterectomy in obese patients: special considerations. Clin Obstet Gynecol 57:106-14CrossRef PubMed
  14.Pitkin RM (1977) Vaginal hysterectomy in obese women. Obstet Gynecol 49:567-69PubMed
  15.Sheth SS (2010) Vaginal hysterectomy as a primary route for morbidly obese women. Acta Obstet Gynecol Scand 89:971-74CrossRef PubMed
  16.Garry R, Fountain J, Mason S et al (2004) The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ 328:129PubMed Central CrossRef PubMed
  17.Reich H (2007) Total laparoscopic hysterectomy: indications, techniques and outcomes. Curr Opin Obstet Gynecol 19:337-44CrossRef PubMed
  18.Wu JM, Wechter ME, Geller EJ, Nguyen TV, Visco AG (2007) Hysterectomy rates in the United States, 2003. Obstet Gynecol 110:1091-095CrossRef PubMed
  19.Geppert B, Lonnerfors C, Persson J (2011) Robot-assisted laparoscopic hysterectomy in obese and morbidly obese women: surgical technique and comparison with open surgery. Acta Obstet Gynecol Scand 90:1210-217CrossRef PubMed
  20.Yu CK, Cutner A, Mould T, Olaitan A (2005) Total laparoscopic hysterectomy as a primary surgical treatment for endometrial cancer in morbidly obese women. BJOG 112:115-17CrossRef PubMed
  21.Giugale LE, Di SN, Smolkin ME, Havrilesky LJ, Modesitt SC (2012) Beyond mere obesity: effect of increasing obesity classifications on hysterectomy outcomes for uterine cancer/hyperplasia. Gynecol Oncol 127:326-31CrossRef PubMed
  22.Obermair A, Manolitsas TP, Leung Y, Hammond IG, McCartney AJ (2005) Total laparoscopic hysterectomy versus total abdominal hysterectomy for obese women with endometrial cancer. Int J Gynecol Cancer 15:319-24CrossRef PubMed
  23.Sokol AI, Chuang K, Milad MP (2003) Risk factors for conversion to laparotomy during gynecologic laparoscopy. J Am Assoc Gynecol Laparosc 10:469-73CrossRef PubMed
  24.Twijnstra AR, Blikkendaal MD, van Zwet EW, Jansen FW (2013) Clinical Relevance of Conversion Rate and its Evaluation in Laparoscopic Hysterectomy. J Minim Invasive Gynecol 20:64-2CrossRef PubMed
  25.Mikhail E, Miladinovic B, Finan M (2014) The relationship between obesity and trends of the routes of hysterectomy for benign indications. Obstet Gynecol 123(Suppl 1):126SCrossRef
  26.Twijnstra AR, Stiggelbout AM, de Kroon CD, Jansen FW (2011) Laparoscopic hysterectomy: eliciting preference of per
• 作者单位：Mathijs D. Blikkendaal (1)
  Evelyn M. Schepers (2)
  Erik W. van Zwet (3)
  Andries R. H. Twijnstra (1)
  Frank Willem Jansen (1)
  
  1. Department of Gynaecology, Leiden University Medical Centre, PO Box 9600, 2300 RC, Leiden, The Netherlands
  2. Department of Gynaecology, Bronovo Hospital, PO Box 96900, 2509 JH, The Hague, The Netherlands
  3. Department of Medical Statistics, Leiden University Medical Centre, PO Box 9600, 2300 RC, Leiden, The Netherlands
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Gynecology
  Obstetrics and Perinatology
  Endocrinology
  Human Genetics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-0711

文摘

Purpose Some studies suggest that also regarding the patient with a body mass index (BMI) ?5 kg/m2 the minimally invasive approach to hysterectomy is superior. However, current practice and research on the preference of gynaecologists still show that the rate of abdominal hysterectomy (AH) increases as the BMI increases. A systematic review with cumulative analysis of comparative studies was performed to evaluate the outcomes of AH, laparoscopic hysterectomy (LH) and vaginal hysterectomy (VH) in very obese and morbidly obese patients (BMI ?5 kg/m2).