title: [Influence of body mass index on the outcomes of robotic-assisted laparoscopic sacrocolpopexy: a comparative retrospective study].
abstract: OBJECTIVE
  The aim of our study was to assess the impact of body mass index (BMI) on a robot-assisted laparoscopic sacrocolpopexy (RALS) to treat genital prolapse.
  
  
  METHODS
  The study focused on a group of 56 women who went through a robot-assisted laparoscopic sacrocolpopexy (RALS) between 2009 and 2013. Patients were divided into 3 groups according to their BMI (kg/m(2)): BMI<25 (n=28), 25≤BMI<30 (n=16), BMI≥30 (n=12). The operating parameters, results and short-term complications were analysed according to the patients' BMI.
  
  
  RESULTS
  The median BMI was 22.5kg/m(2) in group 1, 26.1kg/m(2) in group 2, and 31.6kg/m(2) in group 3 (P<0.001). The operation time was respectively 250 minutes (130-380), 230 minutes (150-410) and 255 minutes (170-370), for groups 1, 2 and 3 (P=0.689). The 3 groups spent 4 days in the hospital (P=0.562). Only one laparotomy in group 3 was reported (P=0.214). The rate of early complications was similar in groups 1, 2 and 3 with 3/28, 0/16 and 0/12 respectively. Anatomical short-term results were identical in the 3 groups with a satisfactory anatomical correction in 100% of all cases (ICS POP-Q<2).
  
  
  CONCLUSIONS
  In this small group, we observed that the BMI had no impact neither on the operation time nor on the rate of complication.
authors.affiliation: Service de chirurgie générale viscérale endocrinienne et gynécologique, groupe hospitalier La Pitié-Salpétrière, AP-HP, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France. Electronic address: del.menzella@gmail.com.
authors.forename: D
authors.initials: D
authors.lastname: Menzella
authors.forename: T
authors.initials: T
authors.lastname: Thubert
authors.forename: M
authors.initials: M
authors.lastname: Joubert
authors.forename: B
authors.initials: B
authors.lastname: Lauratet
authors.forename: P
authors.initials: P
authors.lastname: Kouchner
authors.forename: J-P
authors.initials: JP
authors.lastname: Lefranc
mesh_terms: D000368:Aged; D015992:Body Mass Index; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D061646:Operative Time; D063868:Patient Outcome Assessment; D011183:Postoperative Complications; D012189:Retrospective Studies; D012371:Robotics; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000601:surgery*
keywords: Chirurgie robot-assistée; Laparoscopie; Laparoscopy; Obesity; Obésité; Pelvic organ prolapse; Prolapsus génital; Promontofixation; Robot-assisted surgery; Sacrocolpopexy