旨在评估患有子宫内膜癌的肥胖女性进行微创手术时内脏脂肪组织百分比 (VAT%) 对手术结果的影响。回顾性观察队列研究。日本三重大学医院。73 名女性中（体重指数 (BMI) > 30 kg/m2）患有肥胖症和原发性子宫内膜癌的患者中，2014年4月至2022年12月期间，52例接受了机器人手术，21例接受了腹腔镜手术。我们研究了手术结果（手术时间和失血量）与肥胖（BMI和内脏脂肪组织）之间的相关性百分比[VAT%]）。使用术前计算机断层扫描在脐部水平测量腹部脂肪相关参数。 BMI 和增值税% 之间存在弱负相关关系（CC=-0.313，p=0.001）。多变量分析显示，VAT% 与总手术时间和实际手术时间的相关性高于 BMI（分别为 β=0.338 vs. 0.267、β=0.311 vs. 0.209），并且是失血量的独立预测因子。 VAT% 是延长手术时间和增加淋巴结切除术期间失血量的独立预测指标。VAT% 可以作为肥胖和子宫内膜癌患者手术结果的指标。版权所有 © 2024。由 Elsevier Inc. 出版。

To assess the impact visceral adipose tissue percentage (VAT%) on surgical outcomes during minimally invasive surgery in obese women with endometrial cancer.Retrospective observational cohort study.Mie University Hospital, Japan.Of the 73 women (body mass index (BMI) > 30 kg/m2) with obesity and primary endometrial cancer, 52 underwent robotic surgery, while 21 underwent laparoscopic surgery between April 2014 and December 2022.We investigated the correlation between surgical outcomes (operative time and blood loss) and obesity (BMI and visceral adipose tissue percentage [VAT%]).Abdominal fat-related parameters were measured at the level of the umbilicus using preoperative computed tomography. A weak negative correlation was found between BMI and VAT% (CC = -0.313, p = 0.001). Multivariate analysis showed that VAT% had a stronger correlation to total and practical operative time than BMI (β = 0.338 vs. 0.267, β = 0.311 vs. 0.209, respectively) and was an independent predictor of blood loss. VAT% was an independent predictive marker prolonged for operative time and increased blood loss during lymphadenectomy.VAT% could be an indicator of surgical outcomes for patients with obesity and endometrial cancer.Copyright © 2024. Published by Elsevier Inc.