A case of a patient with early-stage endometrial cancer complicated with morbid obesity treated by robotic-assisted total hysterectomy

Robotic surgery for the treatment of patients with early-stage endometrial cancer has been covered by National Health Insurance in Japan from April 2018. Since then, robotic surgeries have become more common, and at present, it is possible to perform robotic surgeries in many institutions in Japan. However, there are no consensus criteria at present regarding the optimal surgical method (i.e., robotic surgery or laparoscopic surgery) for early-stage endometrial cancer patients. In general, for obese patients, robotic surgery is considered to be more favorable than laparoscopic surgery, owing to its operability and ability to secure a clear surgical field. We here report a case of an early-stage endometrial cancer patient with morbid obesity (BMI=54.19 kg/m2) who was successfully treated by robotic-assisted total hysterectomy and bilateral salpingo-oophorectomy at our institute.