Gynecologic surgery in obese patients : the effectiveness of optical access trocar for the first entry Yasuhito TANASE 1 , Akira ONOGI 1 1Department of Obstetrics and Gynecology, Nara Medical University Keyword: 婦人科腹腔鏡手術 , 肥満 , トロッカー留置 pp.453-458
Published Date 2013/7/15
DOI https://doi.org/10.11477/mf.4426100967
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[Aim]The aim of the present study was to evaluate the feasibility, safety, and complication rates of gynecologic laparoscopic surgery in obese women. [Methods] A retrospective study was conducted at the Department of Obstetrics and Gynecology, Nara Medical University, Japan. Seventeen obese women with gynecological disease underwent laparoscopic surgery between April 2008 and April 2012. Women were classified according to their body mass index(BMI), with a cutoff point of 30 kg/m2. We evaluated the way of trocar insertion and complications in obese patients. [Results] There were advantages with optical trocar entry(7 cases) when compared with open(6 cases) and closed entry(4 cases), in terms of speed of entry and rates of failed entry. There were no major organ injuries or complications except for one woman who developed unexplained fever. There was no blood transfusion or conversion to open surgery. [Conclusion] The optical access trocar was safe and fast technique for initial trocar placement in gynecologic laparoscopic surgery for obese women.

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