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Obstet Gynecol Sci > Volume 55(8); 2012 > Article
Korean Journal of Obstetrics & Gynecology 2012;55(8):559-563.
DOI: https://doi.org/10.5468/KJOG.2012.55.8.559    Published online August 17, 2012.
Single-port access total laparoscopic hysterectomy: Impact of body mass index on surgical outcomes.
Dong Su Park, Jee Eun Lee, Uk Jin Oh, Yoonjung Lee, Taejong Song, Mi La Kim, Bo Sung Yoon, Seok Ju Seong, In Hyun Kim
1Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University College of Medicine, Seoul, Korea. songtaejong@naver.com
2Department of Obstetrics and Gynecology, CHA Daegu Women's Medical Center, CHA University College of Medicine, Seoul, Korea.
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.
Key Words: Single-port, Hysterectomy, Laparoscopy, Body mass index, Obesity


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