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한국 여성의 비만과 복강경수술의 위험도와의 연관성

Other Titles
 Relationship between Risk of Gynecological Laparoscopy and Obesity in Korean Women 
 임재학  ;  배상욱  ;  이재성  ;  강석호  ;  김정연  ;  정경아  ;  김세광  ;  박기현 
 Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery, Vol.13(1) : 54-60, 2001 
Journal Title
Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery(대한산부인과내시경학회잡지)
Issue Date
Objective: The purpose of this study was to determine whether obesity increases risk in performing laparoscopic gynecological surgery or not, in Korean women. Methods and Methods: 277 of 302 women who underwent gynecological laparoscopic surgery in Severance hospital, between January, 1998 and November, 2000, were enrolled in this study. They were analyzed by chart review. Obesity was defined as BMI(Body mass index) ≥25. Then, they were categorized by BMI[weight(㎏)/height2(㎡)], obese group[BMI≥25(n=74)], and non-obese group[BMI<25(n=203)]. Thereafter, each group was further divided into three groups according to the operation grade. Comparison of patient characteristics and operation parameters between obese group and non-obese group in three sub-groups was made. Results: No significant difference in patient characteristics(age, parity, menopausal status, medico-surgical illness, and history of previous intra-abdominal surgery) between the two groups, except in the distribution of operation grade and adhesion grade, was noted. However, the adhesion grade was evenly distributed in each operation grade group. Then, comparison between two groups was done in each operation grade group. In all operation grade group, no significant difference in operative parameters[estimated blood loss(EBL), operation time, operative complications, post-operative complications, hospital days, and rate of conversion to laparotomy] was found between the two groups. Conclusion: Obesity has been generally known to increase risk in laparoscopic surgery. But, from our study with Korean women, obesity did not seem to increase the risk and gynecological laparoscopic surgery was safely and also feasibly performed in obese women, therefore, it should not be considered as a risk-increasing warning sign.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sei Kwang(김세광)
Bai, Sang Wook(배상욱) ORCID logo https://orcid.org/0000-0001-7724-7552
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