TY - JOUR
T1 - Analysis of the Impact of Body Mass Index on the Surgical Outcomes after Robot-Assisted Laparoscopic Myomectomy
AU - George, Amy
AU - Eisenstein, David
AU - Wegienka, Ganesa
PY - 2009/11
Y1 - 2009/11
N2 - Study Objective: To estimate the impact of body mass index (BMI) on surgical outcomes in patients undergoing robotic myomectomy. Design: A retrospective cohort data analysis (Canadian Task Force classification II-2). Setting: Community-based teaching hospital. Patients: A total of 77 consecutive patients from January 2005 through November 2008 with symptomatic leiomyomata. Intervention: Robotic-assisted laparoscopic myomectomy. Measurements and Main Results: Body mass index ([BMI] expressed as kg/m2) was abstracted from the medical charts of all patients undergoing robotic myomectomy. Data on estimated blood loss, procedure time, length of hospital stay, diameter of the largest fibroid, and specimen weight were also extracted. Overall patient demographics between the groups were similar. Thirty-two patients (41.6%) were obese or morbidly obese (BMI > 30). The parameters analyzed for associations with the continuous measure of BMI included length of postoperative hospital stay (LOS), estimated blood loss (EBL), and procedure duration. Median (range) procedure time among all patients was (195 minutes, 98-653 minutes), estimated blood loss was (100 mL, 10-700 mL), and length of hospital stay was (1 day, 1-5 days). No associations were determined between BMI and LOS (r = 0.14, p = .22), EBL (r = 0.25, p = .03), or procedure duration (r = 0.16, p = .22) with Spearman correlations. The size of the largest leiomyoma diameter did not affect these associations. Conclusion: Preoperative obesity is not a risk factor for poor surgical outcome in patients undergoing robotic myomectomy.
AB - Study Objective: To estimate the impact of body mass index (BMI) on surgical outcomes in patients undergoing robotic myomectomy. Design: A retrospective cohort data analysis (Canadian Task Force classification II-2). Setting: Community-based teaching hospital. Patients: A total of 77 consecutive patients from January 2005 through November 2008 with symptomatic leiomyomata. Intervention: Robotic-assisted laparoscopic myomectomy. Measurements and Main Results: Body mass index ([BMI] expressed as kg/m2) was abstracted from the medical charts of all patients undergoing robotic myomectomy. Data on estimated blood loss, procedure time, length of hospital stay, diameter of the largest fibroid, and specimen weight were also extracted. Overall patient demographics between the groups were similar. Thirty-two patients (41.6%) were obese or morbidly obese (BMI > 30). The parameters analyzed for associations with the continuous measure of BMI included length of postoperative hospital stay (LOS), estimated blood loss (EBL), and procedure duration. Median (range) procedure time among all patients was (195 minutes, 98-653 minutes), estimated blood loss was (100 mL, 10-700 mL), and length of hospital stay was (1 day, 1-5 days). No associations were determined between BMI and LOS (r = 0.14, p = .22), EBL (r = 0.25, p = .03), or procedure duration (r = 0.16, p = .22) with Spearman correlations. The size of the largest leiomyoma diameter did not affect these associations. Conclusion: Preoperative obesity is not a risk factor for poor surgical outcome in patients undergoing robotic myomectomy.
KW - Laparoscopy
KW - Leiomyoma
KW - Obesity
KW - Robotic myomectomy
UR - http://www.scopus.com/inward/record.url?scp=71849109270&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=71849109270&partnerID=8YFLogxK
U2 - 10.1016/j.jmig.2009.07.014
DO - 10.1016/j.jmig.2009.07.014
M3 - Article
C2 - 19896599
AN - SCOPUS:71849109270
VL - 16
SP - 730
EP - 733
JO - Journal of the American Association of Gynecologic Laparoscopists
JF - Journal of the American Association of Gynecologic Laparoscopists
SN - 1553-4650
IS - 6
ER -