Current surgical treatment option,utilizing robot-assisted laparoscopic surgery in obese women with endometrial cancer: Farghaly's technique

Background: endometrial cancer is the most prevalent cancer of the female genital tract in north america. minimally invasive laparoscopic-assisted surgery and panniculectomy in obese women with endometrial cancer are associated with an improved lymph node count,and lower rate of incisional complications than laparotomy. methods: technique for robot-assisted laparoscopic surgery for obese women with endometrial cancer is detailed. results: robot-assisted laparoscopic surgical staging,pelvic and para-aortic lymphadenectomy and panniculectomy allow us to avoid the use of postoperative pelvic radiation which is recommended in women with histopathology high-risk findings: deep myometrial invasion or high grade histology. the procedure has the advantage of three-dimensional vision,ergonomic,intuitive control,and wristed instrument that approximate the motion of the human hand. conclusion: robot-assisted laparoscopic surgical staging,and panniculectomy in these patients are a safe,and effective alternative to laparoscopic,and laparotomy surgery. it is an ideal tool for performing the complex oncologic procedures encountered in endometrial cancer staging that requires delicate retroperitoneal,pelvic and para-aortic lymph node dissection,while maintaining the principles of oncologic surgery but in a minimally invasive fashion. © 2013.