Impact of Patient Body Mass Index on Post-Operative Recovery from Robotic-Assisted Hysterectomy

Author:

Amirthanayagam Anumithra1,Wood Matthew2,Teece Lucy3ORCID,Ismail Aemn2,Leighton Ralph4,Jacob Annie4,Chattopadhyay Supratik2,Davies Quentin2,Moss Esther L.12ORCID

Affiliation:

1. Leicester Cancer Research Centre, College of Life Sciences, University of Leicester, University Road, Leicester LE1 7RH, UK

2. Department of Gynaecological Oncology, University Hospitals of Leicester NHS Trust, Infirmary Square, Leicester LE1 5WW, UK

3. Department of Population Health Sciences, College of Life Sciences, University of Leicester, University Road, Leicester LE1 7RH, UK

4. Department of Anaesthetics, University Hospitals of Leicester NHS Trust, Infirmary Square, Leicester LE1 5WW, UK

Abstract

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/m2 had 17 cases; the range 40–44.9 kg/m2 had 15 cases; 45–49.9 kg/m2 8 cases; and those ≥50 kg/m2 comprised 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 and p < 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.

Funder

National Institute for Health and Care Research (NIHR) Applied Research Collaboration East Midlands

Leicester NIHR Biomedical Research Centre

Intuitive Surgical Research

Publisher

MDPI AG

Subject

Cancer Research,Oncology

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Robotic-assisted surgery in high-risk surgical patients with endometrial cancer;Best Practice & Research Clinical Obstetrics & Gynaecology;2024-02

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