title: Robotic-assisted laparoscopic hysterectomy: outcomes in obese and morbidly obese patients.
abstract: OBJECTIVE
  To describe patient characteristics and perioperative outcomes among women undergoing roboticassisted laparoscopic hysterectomy and to evaluate the characteristics of nonobese, obese, and morbidly obese patients.
  
  
  METHODS
  A retrospective review was conducted  of 442 cases of women who underwent robotic-assisted laparoscopic hysterectomy for benign and malignant conditions over a 4-y period at an academic and community teaching hospital. Patient demographics, surgical indications, operative outcomes, and complications were evaluated for patients  with a body mass index (BMI) <30 kg/m(2), 30 kg/m(2) to 39.9 kg/m(2), and ≥40 kg/m(2).
  
  
  RESULTS
  Of the 442 patients, 257 (58%) were obese or morbidly obese, with a BMI of ≥30 kg/m(2). Overall, the median estimated blood loss  was 100 mL (range, 10 to 800), the operative time was 135 min (range, 40 to 436), and the length of stay was 1 d (range, 0 to 22). These did not differ significantly by BMI group. Overall, 11.9% of patients experienced complications (7.9% minor, 4.1% major), and this did not differ significantly  across BMI groups.
  
  
  CONCLUSIONS
  Robotic hysterectomy can be performed safely in obese and morbidly obese patients, with surgical outcomes and complications similar to those in nonobese patients.
authors: Yale New Haven Health/Bridgeport Hospital, Department of Obstetrics & Gynecology, Minimally Invasive Gynecologic Surgery Fellowship Program, Bridgeport, CT, USA.
authors: Taryn
authors: T
authors: Gallo
authors: Shabnam
authors: S
authors: Kashani
authors: Divya A
authors: DA
authors: Patel
authors: Karim
authors: K
authors: Elsahwi
authors: Dan-Arin
authors: DA
authors: Silasi
authors: Masoud
authors: M
authors: Azodi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D005260:Female; D005500:Follow-Up Studies; D005831:Genital Diseases, Female / Q000150:complications / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications*; D061646:Operative Time; D011183:Postoperative Complications; D012189:Retrospective Studies; D012371:Robotics; D013997:Time Factors; D016896:Treatment Outcome