Feasibility and safety of laparoscopic approach in obese patients with endometriosis: a multivariable regression analysis

Purpose To evaluate the feasibility and safety of laparoscopic excision of endometriotic lesions in obese women.

Retrospective analysis of prospectively collected data involving consecutive women scheduled for complete laparoscopic removal of macroscopic endometriotic lesions between January 2012 and November 2018. Operative time, laparotomic conversion rates, complication rates, and length of hospital stay were recorded.

One thousand two hundred thirty women were enrolled and divided into two main groups, according to the World Health Organization classification of obesity, obese (body mass index ≥ 30 kg/m2) and non-obese (body mass index < 30 kg/m2). During the study period, 91 (7.4% of overall study cohort) obese women underwent surgery. At univariate analyses, significant differences between the two groups were found in terms of age, rates of severe endometriosis, American Society of Anesthesiologists physical status classification ≥ III, and different surgical procedures. Significant differences in terms of median operative time [125 (interquartile range (IQR) 85–165) in obese group vs 110 min (IQR 75–155) in non-obese group, P = 0.04] were observed. There were no significant differences between the obese and non-obese groups with respect to the other variables of interest. After adjusted multivariable regression models for potential confounders, difference in operating time (coefficient of 13.389; 95% CI 1.716, 25.060) was still found to be significant.

In our tertiary care referral center, laparoscopic removal of endometriosis is feasible and safe, except for a slight increase of operative time and conversion rate. Similar content being viewed by others

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Informed consent Informed consent was obtained from all individual participants included in the study at time of preoperative evaluation. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The study was registered on ClinicalTrial.gov with the following ID number: NCT0389935 (https://clinicaltrials.gov/ct2/show/NCT03899935). Rights and permissions About this article Cite this article Raimondo, D., Raimondo, I., Degli Esposti, E. et al. Feasibility and safety of laparoscopic approach in obese patients with endometriosis: a multivariable regression analysis. Arch Gynecol Obstet 302, 665–670 (2020). https://doi.org/10.1007/s00404-020-05629-9 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s00404-020-05629-9