Robotic surgical staging for obese patients with endometrial cancer

Objective To compare surgical outcomes for robotic vs laparotomy staging in obese endometrial cancer patients. Study Design This was a retrospective cohort study of patients with body mass index ≥30 kg/m 2 staged in a community gynecologic oncology practice. Patients undergoing robotic staging were compared with historic laparotomy controls. Results One hundred twenty-nine patients underwent robotic staging, compared with 110 laparotomy patients. The robotic cohort had fewer abdominal wound complications (13.9% vs 32.7%, P P = .032). Blood loss was lower in the robotic group ( P P P Conclusion Robotic staging for endometrial cancer is feasible in obese women, with fewer abdominal wound complications, but more vaginal cuff complications.