Association between Obesity, Surgical Route, and Perioperative Outcomes in Patients with Uterine Cancer
المؤلفون المشاركون
Mikhail, Emad
Salemi, Jason L.
Imudia, Anthony N.
Al Sawah, Entidhar
Hoffman, Mitchel
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-06-19
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Objective.
To study temporal trends of hysterectomy routes performed for uterine cancer and their associations with body mass index (BMI) and perioperative morbidity.
Methods.
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.
Results.
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 (composite indicator including transfusion, deep venous thrombosis, and infection) was 17.1 versus 3.7 for TAH and TLH, respectively (p < 0.01).
Conclusion.
During the last decade, TLH has been increasingly performed in women with uterine cancer.
The increased adoption of TLH was seen in all BMI subgroups.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Al Sawah, Entidhar& Salemi, Jason L.& Hoffman, Mitchel& Imudia, Anthony N.& Mikhail, Emad. 2018. Association between Obesity, Surgical Route, and Perioperative Outcomes in Patients with Uterine Cancer. Minimally Invasive Surgery،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1204567
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Al Sawah, Entidhar…[et al.]. Association between Obesity, Surgical Route, and Perioperative Outcomes in Patients with Uterine Cancer. Minimally Invasive Surgery No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1204567
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Al Sawah, Entidhar& Salemi, Jason L.& Hoffman, Mitchel& Imudia, Anthony N.& Mikhail, Emad. Association between Obesity, Surgical Route, and Perioperative Outcomes in Patients with Uterine Cancer. Minimally Invasive Surgery. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1204567
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1204567
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر