A longitudinal, descriptive, prospective, and prolective study of individuals with endometrial or cervical cancer/pre-cancer diagnoses and high BMI (over 35 kg/m2) undergoing RH was conducted. Of the 53 participants recruited, 3 (6%) were converted to open surgery. The 50 RH participants had median BMI 42 kg/m2(range 35 to 60): the range 35–39.9 kg/m2had 17 cases; the range 40–44.9 kg/m2had 15 cases; 45–49.9 kg/m28 cases; and those ≥50 kg/m2comprised 10 cases. The mean RH operating time was 128.1 min (SD 25.3) and the median length of hospital stay was 2 days (range 1–14 days). Increased BMI was associated with small, but statistically significant, increases in operating time and anaesthetic time, 65 additional seconds and 37 seconds, respectively, for each unit increase in BMI. The median self-reported time for individuals who underwent RH to return to their pre-operative activity levels was 4 weeks (range 2 to >12 weeks). There was a significant improvement in pain and physical independence scores over time (p= 0.001 andp< 0.001, respectively) and no significant difference in scores for overall QOL, pain, or physical independence scores was found between the BMI groups. Patient-reported recovery and quality of life following RH is high in individuals with high BMI (over 35 kg/m2) and does not appear to be impacted by the severity of obesity.
本研究对患有子宫内膜癌或宫颈癌/癌前病变且体重指数（BMI）较高（超过35 kg/m²）并接受根治性子宫切除术（RH）的个体进行了一项纵向、描述性、前瞻性及保护性研究。在招募的53名参与者中，3名（6%）转为开腹手术。50名接受RH的参与者中位BMI为42 kg/m²（范围35至60）：其中35–39.9 kg/m²范围有17例；40–44.9 kg/m²范围有15例；45–49.9 kg/m²范围有8例；≥50 kg/m²范围有10例。RH的平均手术时间为128.1分钟（标准差25.3），中位住院时间为2天（范围1–14天）。BMI每增加一个单位，手术时间和麻醉时间分别增加65秒和37秒，增幅虽小但具有统计学显著性。接受RH的个体自我报告恢复至术前活动水平的中位时间为4周（范围2至超过12周）。疼痛和身体独立性评分随时间显著改善（分别为p=0.001和p<0.001），且不同BMI组在总体生活质量、疼痛或身体独立性评分上无显著差异。高BMI（超过35 kg/m²）个体在RH后自我报告的恢复情况和生活质量较高，且似乎不受肥胖严重程度的影响。
Impact of Patient Body Mass Index on Post-Operative Recovery from Robotic-Assisted Hysterectomy
肿瘤(癌症)患者之家