Obesity and perioperative pulmonary complications in robotic gynecologic surgery.

Journal: American journal of obstetrics and gynecology
Published Date: Jan 28, 2015

Abstract

OBJECTIVE: Robotic gynecological surgery is feasible in obese patients, but there remain concerns about the safety of this approach because the positioning required for pelvic surgery can exacerbate obesity-related changes in respiratory physiology. The objective of our study was to evaluate pulmonary and all-cause complication rates in obese women undergoing robotic gynecological surgery and to assess variables that may be associated with complications.

Authors

  • Weiya Z Wysham
    Division of Gynecologic Oncology, University of North Carolina School of Medicine, Chapel Hill, NC. Electronic address: wwysham@unch.unc.edu.
  • Kenneth H Kim
    Division of Gynecologic Oncology, University of North Carolina School of Medicine, Chapel Hill, NC; Lineberger Clinical Cancer Center, University of North Carolina School of Medicine, Chapel Hill, NC.
  • Jared M Roberts
    Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama, Birmingham, School of Medicine, Birmingham, AL.
  • Stephanie A Sullivan
    Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC.
  • Sukhkamal B Campbell
    Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama, Birmingham, School of Medicine, Birmingham, AL.
  • Dario R Roque
    Division of Gynecologic Oncology, University of North Carolina School of Medicine, Chapel Hill, NC.
  • Dominic T Moore
    Lineberger Clinical Cancer Center, University of North Carolina School of Medicine, Chapel Hill, NC.
  • Paola A Gehrig
    Division of Gynecologic Oncology, University of North Carolina School of Medicine, Chapel Hill, NC; Lineberger Clinical Cancer Center, University of North Carolina School of Medicine, Chapel Hill, NC.
  • John F Boggess
    Division of Gynecologic Oncology, University of North Carolina School of Medicine, Chapel Hill, NC; Lineberger Clinical Cancer Center, University of North Carolina School of Medicine, Chapel Hill, NC.
  • John T Soper
    Division of Gynecologic Oncology, University of North Carolina School of Medicine, Chapel Hill, NC; Lineberger Clinical Cancer Center, University of North Carolina School of Medicine, Chapel Hill, NC.
  • Warner K Huh
    Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama, Birmingham, School of Medicine, Birmingham, AL.

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