Robotic Hysterectomy in Severely Obese Patients With Endometrial Cancer: A Multicenter Study

Journal of Minimally Invasive Gynecology
G CorradoE Vizza

Abstract

The aim of this study was to evaluate the surgical and oncologic outcomes of robotic hysterectomy with or without or less pelvic and aortic lymphadenectomy in severely obese patients (body mass index [BMI] ≥ 40 kg/m(2)) with endometrial cancer. Between August 2010 and November 2014, patients with histologically confirmed endometrial cancer and BMI ≥40 kg/m(2) were deemed eligible for the study and underwent RH with or without pelvic and aortic lymphadenectomy. Seventy patients were divided into 3 groups according to their BMI: group A, BMI between 40 and 45 kg/m(2) (50 patients); group B, BMI between 45 and 50 kg/m(2) (10 patients); and group C, BMI above 50 kg/m(2) (10 patients). No significant statistical differences were found between the 3 groups in terms of operation time, blood loss, hospital stay, and oncologic results. Pelvic lymphadenectomy was performed in 42%, 30%, and 20% of patients in groups A, B, and C, respectively. An intraoperative complication occurred in 1 patient in group A, early postoperative complications in 4 patients in group A and in 1 patient in group C, and a late postoperative complication occurred in 1 patient in group A. No conversions to laparotomy were necessary; however, 3 patients underwent c...Continue Reading

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Citations

Apr 22, 2016·Acta Obstetricia Et Gynecologica Scandinavica·Gitte BennichPernille D Lassen
Jul 18, 2016·Journal of Robotic Surgery·Immaculate F NevisMarcus Q Bernardini
Dec 1, 2017·Journal of Gynecologic Oncology·Enrico VizzaGiacomo Corrado
Jun 19, 2017·Journal of Robotic Surgery·Salvatore Gueli AllettiG Scambia
Dec 7, 2019·Obstetrics and Gynecology·John O Schorge
Dec 19, 2019·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Giacomo CorradoEnrico Vizza
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Aug 25, 2019·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Paul J YongCatherine Allaire
Aug 25, 2019·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Paul J YongCatherine Allaire
Dec 2, 2020·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Laura Jane McLeodSari Kives
Oct 16, 2020·The Journal of Obstetrics and Gynaecology Research·Emre MatTaner Usta

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