Huajiang Lei1, Dingqing Gui, Yuhua He. 1. Department of Obstetrics and Gynecology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan Province, People's Republic of China.
Abstract
PURPOSE: To perform a preliminary comparison of the short- and long-term outcomes of laparoscopic hysterectomy (LH) between obese and non-obese patients with cervical cancer. METHODS: A total of 243 cases of cervical cancer patients were treated with LH between April 2009 and January 2016. Based on their body mass index (BMI) at the time of surgery, patients were divided into an obese group (BMI ≥ 25 kg/m2) and a non-obese group (BMI < 25 kg/m2). The short- and long-term outcomes of the two groups were retrospectively analyzed. RESULTS: Sixty-four patients were classified as obese and 179 as non-obese. There were no statistically significant differences in age, clinical stage, pathological type, pathological grade, and American Society of Anesthesiologists (ASA) score between the two groups. The proportion of patients with type-2 diabetes mellitus (p=0.006), hypertension (p=0.021), and hyperlipidemia (p=0.008) in the obese group was significantly higher than that in the non-obese group. Compared with the non-obese group, the obese patients had longer operative time (p=0.039), more intraoperative blood loss (p=0.025), and a higher rate of conversion (p=0.025). There was no significant difference between the two groups in terms of intraoperative and postoperative 30-day complications. Pathology data of the two groups were similar. Both groups had similar tumor recurrence rates, 5-year overall survival rates, and 5-year disease-free survival rates.
PURPOSE: To perform a preliminary comparison of the short- and long-term outcomes of laparoscopic hysterectomy (LH) between obese and non-obesepatients with cervical cancer. METHODS: A total of 243 cases of cervical cancerpatients were treated with LH between April 2009 and January 2016. Based on their body mass index (BMI) at the time of surgery, patients were divided into an obese group (BMI ≥ 25 kg/m2) and a non-obese group (BMI < 25 kg/m2). The short- and long-term outcomes of the two groups were retrospectively analyzed. RESULTS: Sixty-four patients were classified as obese and 179 as non-obese. There were no statistically significant differences in age, clinical stage, pathological type, pathological grade, and American Society of Anesthesiologists (ASA) score between the two groups. The proportion of patients with type-2 diabetes mellitus (p=0.006), hypertension (p=0.021), and hyperlipidemia (p=0.008) in the obese group was significantly higher than that in the non-obese group. Compared with the non-obese group, the obesepatients had longer operative time (p=0.039), more intraoperative blood loss (p=0.025), and a higher rate of conversion (p=0.025). There was no significant difference between the two groups in terms of intraoperative and postoperative 30-day complications. Pathology data of the two groups were similar. Both groups had similar tumor recurrence rates, 5-year overall survival rates, and 5-year disease-free survival rates.