Abstract

<h3>Study Objective</h3> The aim of our study was to evaluate safety and perioperative complications of robotic surgery in the morbidly obese and extremely morbidly obese patient population with endometrial cancer. <h3>Design</h3> Retrospective cohort study. <h3>Setting</h3> Geisinger Medical Center, a tertiary academic care center. <h3>Patients or Participants</h3> A total of 391 women with early-stage endometrial carcinoma undergoing robotic-assisted total laparoscopic hysterectomy between January 2011 to October 2019. <h3>Interventions</h3> Patients underwent robotic-assisted total laparoscopic hysterectomy for surgical staging. <h3>Measurements and Main Results</h3> . <h3>Conclusion</h3> Increasing body mass index (BMI) is associated with longer operative times despite lower yield of lymph node retrieval at the time of surgery. A higher rate of postoperative complications were noted among higher BMI classes, although it did not reach statistical significance.

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