Obesity and perioperative pulmonary complications in robotic gynecologic surgery

American Journal of Obstetrics and Gynecology
Weiya Z WyshamWarner K Huh

Abstract

Robotic gynecological surgery is feasible in obese patients, but there remain concerns about the safety of this approach because the positioning required for pelvic surgery can exacerbate obesity-related changes in respiratory physiology. The objective of our study was to evaluate pulmonary and all-cause complication rates in obese women undergoing robotic gynecological surgery and to assess variables that may be associated with complications. A retrospective chart review was performed on obese patients (body mass index of ≥30 kg/m(2)) who underwent robotic gynecological surgery at 2 academic institutions between 2006 and 2012. The primary outcome was pulmonary complications and the secondary outcome was all-cause complications. Univariate and multivariate logistic regression analyses were used to determine the associations between patient baseline variables, operative variables, ventilator parameters, and complications. Of 1032 patients, 146 patients (14%) had any complication, whereas only 33 patients (3%) had a pulmonary complication. Median body mass index was 37 kg/m(2). Only age was significantly associated with a higher risk of pulmonary complications (P = .01). Older age, higher estimated blood loss, and longer case len...Continue Reading

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Citations

Oct 11, 2015·American Journal of Obstetrics and Gynecology·Weiya Z WyshamWarner K Huh
Oct 10, 2015·American Journal of Obstetrics and Gynecology·Christos IavazzoIoannis D Gkegkes
Sep 8, 2015·Journal of Minimally Invasive Gynecology·Giacomo CorradoEnrico Vizza
Aug 9, 2016·Obstetrics and Gynecology·Diana MannschreckAmanda N Fader
Jun 26, 2018·Current Opinion in Obstetrics & Gynecology·Cynthia ArvizoAmanda Yunker
Jun 9, 2016·Current Opinion in Obstetrics & Gynecology·Michelle LouieLauren D Schiff
Jul 3, 2019·Current Pain and Headache Reports·Gulden MenderesDan-Arin Silasi
May 30, 2020·Obstetrical & Gynecological Survey·S Allison StaleyLeslie H Clark
Jun 9, 2020·Archives of Gynecology and Obstetrics·Diego RaimondoRenato Seracchioli
Jan 27, 2021·Journal of Minimally Invasive Gynecology·Koji MatsuoLynda D Roman
Nov 3, 2020·British Journal of Anaesthesia·UNKNOWN Assessment of Ventilation during general AnesThesia for Robotic surgery (AVATaR) Study InvestigatorsUNKNOWN AVATaR Investigators
Jun 18, 2021·Journal of Minimally Invasive Gynecology·Maria J SmithBhavana Pothuri
Jun 19, 2021·Annals of Surgical Oncology·Michelle ErtelLeslie H Clark

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