Surgery for early stage endometrial carcinoma in the obese patient

Abstract

Obese patients have increased risk of developing endometrial cancer proportional to the excess in body mass index. In this review, we explored the latest information on surgical management and its adaptation to the obese condition. Mini-invasive treatments (laparoscopic, robotic, vaginal, or combinations) should be systematically considered. Prevention and active treatment of obesity seem an interesting approach to reduce incidence and severity of the disease.

Comparison perioperative outcomes for endometrial cancer staging via traditional laparotomy, laparoscopy and robotic-assisted surgery: short term initial experience

“…Along with the early diagnosis, proper staging surgery is critical for the disease's prognosis. A total extra-facial hysterectomy, bilateral salpingo-oophorectomy (BSO), and pelvic-paraaortic lymph node dissection (PPLND) are the standard surgical methods for diagnosing and treating endometrial cancer, but there are many other options (6). Additional surgical approaches include vaginal, TLH, or TRH staging.…”