...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Gynecological Surgery >The effect of patient body mass index on surgical difficulty in gynaecological laparoscopy
【24h】

The effect of patient body mass index on surgical difficulty in gynaecological laparoscopy

机译：患者体重指数对妇科腹腔镜手术难度的影响

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The objective of this pilot study was to evaluate the extent to which laparoscopic gynaecological surgery could be completed as planned in overweight and obese patients versus patients of normal weight. A prospective surgical audit was conducted of 64 women undergoing laparoscopy for benign gynaecological conditions. Patients were grouped according to their body mass index (BMI). The number of attempts required for successful laparoscopic entry, the ability to identify key surgical landmarks, the ability to complete the planned surgery, the rate of conversion to laparotomy and the complication rates were recorded. Surgery was completed as planned in 95.31% of participants. Completion rates declined with increasing BMI. Increased entry attempts and an inability to identify key surgical landmarks were associated with increased BMI, although the sample size was insufficient to provide any statistically significant conclusions. The overall complication rate was 6.25%. There was a higher mean BMI in patients with a complication; however, there was insufficient data to show a significant difference. This study suggests an association between increasing BMI and increased entry attempts for laparoscopy, increased difficulty in surgical landmark identification and an overall reduction in completion of gynaecological laparoscopy as planned.
机译：这项初步研究的目的是评估超重和肥胖患者与正常体重患者按计划完成腹腔镜妇科手术的程度。对64例因良性妇科疾病而进行腹腔镜检查的妇女进行了一项前瞻性手术审计。根据患者的体重指数（BMI）对患者进行分组。记录成功腹腔镜手术所需的尝试次数，识别关键手术标志的能力，完成计划手术的能力，开腹手术的转换率和并发症发生率。 95.31％的参与者按计划完成了手术。随着BMI的增加，完成率下降。尽管样本量不足以提供任何具有统计意义的结论，但进入尝试的增加和无法识别关键手术标志物与体重指数的增加有关。总体并发症发生率为6.25％。并发症患者的平均BMI较高；但是，没有足够的数据显示出显着差异。这项研究表明，BMI的增加与腹腔镜检查进入尝试的增加，外科手术标志物识别难度的增加以及按计划完成的妇科腹腔镜检查的总体减少之间存在关联。

著录项

  • 来源
    《Gynecological Surgery》 |2011年第2期|p.145-149|共5页
  • 作者

    Kate McIlwaine; M. Cameron; E. Readman; J. Manwaring; P. Maher;

  • 作者单位

    Department of Endosurgery, Mercy Hospital for Women, 163 Studley Rd., Heidelberg, VIC, 3084, Australia;

    Department of Endosurgery, Mercy Hospital for Women, 163 Studley Rd., Heidelberg, VIC, 3084, Australia;

    Department of Endosurgery, Mercy Hospital for Women, 163 Studley Rd., Heidelberg, VIC, 3084, Australia;

    Department of Endosurgery, Mercy Hospital for Women, 163 Studley Rd., Heidelberg, VIC, 3084, Australia;

    Department of Endosurgery, Mercy Hospital for Women, 163 Studley Rd., Heidelberg, VIC, 3084, Australia;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Laparoscopic surgery; Body mass index; Obesity; Surgical outcomes; Complications;

    机译：腹腔镜手术;身体质量指数;肥胖症;手术结果;并发症;

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号