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Park, Lee, Oh, Lee, Song, Kim, Yoon, Seong, and Kim: Single-port access total laparoscopic hysterectomy: Impact of body mass index on surgical outcomes
Original Article
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(8): 559-563.

Published online: 17 August 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.8.559

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

Dong Su Park, MD1, Jee Eun Lee, MD1, Uk Jin Oh, MD1, Yoonjung Lee, MD1, Taejong Song, MD1, Mi-La Kim, MD, PhD1, Bo Sung Yoon, MD1, Seok Ju Seong, MD, PhD1, In Hyun Kim, MD, PhD2

1Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University College of Medicine, Seoul, Korea.

2Department of Obstetrics and Gynecology, CHA Daegu Women's Medical Center, CHA University College of Medicine, Seoul, Korea.

Corresponding author: Taejong Song, MD. Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University College of Medicine, 566 Nonhyeon-ro, Gangnam-gu, Seoul 135-913, Korea. Tel: +82-2-3468-3677, Fax: +82-2-558-1112, songtaejong@naver.com

Received 5 March 2012       Revised 11 May 2012       Accepted 1 June 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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≥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.

Keywords: Single-port, Hysterectomy, Laparoscopy, Body mass index, Obesity

Figures and Tables

Table 1
Descriptive baseline characteristics by group
kjog-55-559-i001

Values are presented as median (range) or number (%).

BMI, body mass index.

aCervical dysplasia includes cervical intraepithelial neoplasia 3 and carcinoma in situ; bAdnexal surgery includes unilateral salpingo-oophorectomy, bilateral salpingo-oophorectomy, and ovarian cyst enucleation; cOther surgery includes posterior colpoplasty and adhesiolysis.

Table 2
Surgical outcomes and complications by group
kjog-55-559-i002

Values are presented as median (range) or number (percentage).

BMI, body mass index; MH, multi-port access total laparoscopic hysterectomy; AH, abdominal hysterectomy.

aVault problem includes vescicovaginal fistula, vault bleeding, and dehiscence.

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