Robotic Hysterectomy for Endometrial Cancer in Obese Patients With Comorbidities: Evaluating Postoperative Complications

Abstract

The postoperative complication rate based on BMI or number of comorbidities was not statistically significant, but patients with greater number of comorbidities had an increased rate of postoperative complications. Patients with certain comorbidities, cardiac and renal specifically, had the highest rates of postoperative complications.

Examining Disparities in Route of Surgery and Postoperative Complications in Black Race and Hysterectomy

“…The strength of this study is the reliable, accurate database that is the source of data and which have been used to assess postoperative complications from hysterectomy and other surgical procedures for many other studies. 15,22,23 The database provided data for a large sample of patients from many different hospitals and included patient-level medical information collected specifically for the use of examining postoperative outcomes. The addition of the targeted hysterectomy file within NSQIP allowed for adjustment of important patient-level factors, such as uterine size, obesity, and comorbidities, not previously available in other secondary dataset studies, yet factors that many gynecologic surgeons take into consideration in their decision-making about route of hysterectomy.…”

Surgical approaches in women with endometrial cancer with a body mass index greater than 35 kg/m2

“…The improvement in finding solutions to surgical difficulties using RBT surgery means that the rate of change into open surgery is from 8.9% to 15.6% . On the other hand, the conversion rate of LPC surgery varies between 14% and 36%.…”

Prolonged intubation after robotic-assisted hysterectomy for endometrial cancer: Case reports

“…BMI and medical comorbidities have not correlated with complication rates for robotic surgery in endometrial cancer; however, there are increasing trends of higher complication rates with large BMI (<30 versus >50, 17 versus 26%) and multiple medical comorbidities (<3 versus ≥3, 16–18% versus 28%). Thus, preoperative assessments of these factors are recommended when robotic surgery is discussed with patient ( Backes et al, 2015 ).…”