Surgical approaches in women with endometrial cancer with a body mass index greater than 35 kg/m 2

• Published in: The journal of obstetrics and gynaecology research 2019-01, Vol.45 (1), p.195-202
• Main Authors: Raventós-Tato, Rut M, de la Torre-Fernández de Vega, Javier, Sánchez-Iglesias, José L, Díaz-Feijoó, Berta, Sabadell, Jordi, Pérez-Benavente, María A, Gil-Moreno, Antonio
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Body Mass Index; Comorbidity; Endometrial Neoplasms - epidemiology; Endometrial Neoplasms - surgery; Female; Gynecologic Surgical Procedures - adverse effects; Gynecologic Surgical Procedures - statistics & numerical data; Humans; Laparoscopy - adverse effects; Laparoscopy - statistics & numerical data; Laparotomy - adverse effects; Laparotomy - statistics & numerical data; Lymph Node Excision - adverse effects; Lymph Node Excision - statistics & numerical data; Middle Aged; Obesity - epidemiology; Outcome and Process Assessment (Health Care) - statistics & numerical data; Retrospective Studies; Robotic Surgical Procedures - adverse effects; Robotic Surgical Procedures - statistics & numerical data
• ISSN: 1341-8076; 1447-0756
• DOI: 10.1111/jog.13789

Endometrial cancer is often associated with obesity. We want to compare the outcomes of surgical staging according to the surgical approach in patients with a body mass index ≥35 kg/m . A retrospective cohort study with 138 patients with endometrial cancer and body mass index ≥35 kg/m with different surgical staging routes: laparotomy (LPT; n = 94) and minimally invasive surgery (MIS): laparoscopy (LPC; n = 18) + robotic assisted laparoscopy (n = 26). Lymphadenectomy rate was similar in the three groups; there were no differences in the number of nodes removed. Decreased bleeding (P = 0.002) and hospital admission length (P