Assessing the effectiveness of a weight reduction program in hospitalized obese patients undergoing laparoscopic surgery

• Main Authors: Ken Imai, Kenro Chikazawa, Takaki Ito, Azusa Kimura, Hiroyoshi Ko, Yokota Miho, Tomoyuki Kuwata, Ryo Konno
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2021-01-01
• Series: Gynecology and Minimally Invasive Therapy
• Subjects: endometrial neoplasms; laparoscopy; obesity
• Online Access: http://www.e-gmit.com/article.asp?issn=2213-3070;year=2021;volume=10;issue=1;spage=44;epage=46;aulast=Imai

Investigate the efficacy of a hospitalized weight reduction program before laparoscopic surgery among high body mass index (BMI) patients with endometrial cancer. The patients were housed in a shared room, received exercise guidance, and restricted to a total caloric intake of 1200 kcal. A physiotherapist and a dietitian provided pedometer and nutritional guidance, respectively. The primary outcome was weight reduction. Among the 16 patients included, 12 (75%) had Stage I endometrial cancer and 10 (62.5%) underwent laparoscopic surgery. Weight and BMI at first consultation were 88.4±10.4 kg and 34.8±3.9 kg/m2, respectively. The rate of weight reduction was 6.5%±2.5%; on average, BMI decreased by 2.1±1.0 kg/m2. The duration from initial consultation to surgery was 39.1±11.4 days. Hospitalization duration until weight reduction was 20.8±8.0 days; there were no surgical complications. Our hospitalized weight reduction program may be effective for obese endometrial cancer patients.