Association between Obesity, Surgical Route, and Perioperative Outcomes in Patients with Uterine Cancer

Minimally Invasive Surgery
Entidhar Al SawahEmad Mikhail

Abstract

To study temporal trends of hysterectomy routes performed for uterine cancer and their associations with body mass index (BMI) and perioperative morbidity. A retrospective review of the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) 2005-2013 databases was conducted. All patients who were 18 years old and older with a diagnosis of uterine cancer and underwent hysterectomy were identified using ICD-9-CM and CPT codes. Surgical route was classified into four groups: total abdominal hysterectomy (TAH), total vaginal hysterectomy (TVH), laparoscopic assisted vaginal hysterectomy (LAVH), and total laparoscopic hysterectomy (TLH) including both conventional and robotically assisted. Patients were then stratified according to BMI. 7199 records were included in the study. TLH was the most commonly performed route of hysterectomy regardless of BMI, with proportions of 50.9%, 48.9%, 50.4%, and 51.2% in ideal, overweight, obese, and morbidly obese patients, respectively. The median operative time for TAH was 2.2 hours compared to 2.7 hours for TLH (p < 0.01). The median length of stay for TAH was 3 days compared to 1 day for TLH (p < 0.01). The percentage of patients with an adverse outcome (composi...Continue Reading

References

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Citations

Dec 14, 2019·Current Opinion in Obstetrics & Gynecology·Marisa C LiuKrishnansu S Tewari
Aug 20, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Woraphot ChaowawanitSinead Barry
Dec 30, 2020·Cancers·Ludwig KieselMichael Eichbaum
Apr 8, 2020·International Journal of Surgery Protocols·Fumitake ItoJo Kitawaki

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Methods Mentioned

BETA
hysterectomy
hysterectomies
dissection

Software Mentioned

SAS

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