Morbidly obese patient with endometrial cancer treated by bariatric surgery to enable cancer treatment

2021 ◽  
Vol 14 (7) ◽  
pp. e243843
Author(s):  
Nidhi Sharma ◽  
Kalpana Ragupathy
Keyword(s):  
Bariatric Surgery ◽  
Body Mass Index ◽  
Endometrial Cancer ◽  
Surgical Treatment ◽  
Obese Patient ◽  
Early Stage ◽  
Obese Woman ◽  
Morbidly Obese ◽  
Total Hysterectomy ◽  
Morbidly Obese Patient

The case demonstrates the use of bariatric surgery to improve a patient’s candidacy for surgical treatment for endometrial cancer (EC). A 50-year-old morbidly obese woman with early-stage EC was initially treated with levonorgestrel-releasing intrauterine system (52 mg) . She had to reduce her body mass index (BMI) to become eligible for definite EC treatment. Using conservative methods, she was unable to lose weight effectively. She then underwent bariatric surgery that reduced her BMI from 71.3 to 54.3 kg/m2. She maintained her weight and was eligible for total hysterectomy and bilateral salpingo-oopherectomy. Her procedure was successful and had no complications. She has 6-monthly follow-ups, and the most recent review showed no evidence of recurrence.

scholarly journals Bariatric surgery after failed conservative management in a morbidly obese patient with endometrial cancer

2019 ◽  
Vol 27 ◽  
pp. 69-71 ◽  
Author(s):  
Lauren Montemorano ◽  
Stacy A. Smrz ◽  
Anahita D. Jalilvand ◽  
Sabrena F. Noria ◽  
Ritu Salani
Keyword(s):  
Bariatric Surgery ◽  
Endometrial Cancer ◽  
Obese Patient ◽  
Conservative Management ◽  
Morbidly Obese ◽  
Morbidly Obese Patient

Case-Matched Outcomes in Bariatric Surgery for Treatment of Type 2 Diabetes in the Morbidly Obese Patient

2012 ◽  
Vol 255 (2) ◽  
pp. 287-293 ◽  
Author(s):  
Robert B. Dorman ◽  
Federico J. Serrot ◽  
Christopher J. Miller ◽  
Bridget M. Slusarek ◽  
Barbara K. Sampson ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Bariatric Surgery ◽  
Obese Patient ◽  
Morbidly Obese ◽  
Morbidly Obese Patient

scholarly journals Panniculectomy and Cystectomy: An Approach to the Morbidly Obese Patient

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Lee A. Hugar ◽  
Robert M. Turner ◽  
Jeffrey A. Gusenoff ◽  
Andres F. Correa ◽  
Bruce L. Jacobs ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Obese Patient ◽  
Radical Cystectomy ◽  
Urinary Diversion ◽  
Ileal Conduit ◽  
Morbidly Obese ◽  
Refractory Disease ◽  
Bacillus Calmette Guerin ◽  
Morbidly Obese Patient ◽  
The Impact

The obese patient undergoing radical cystectomy faces a unique set of challenges. We present the case of a 68-year-old gentleman who presented to our institution with Bacillus Calmette-Guerin refractory disease, a body mass index of 38.5, and a large pannus. The present paper describes our technique for performing radical cystectomy with ileal conduit urinary diversion and concomitant panniculectomy. We discuss the impact of obesity on patients undergoing radical cystectomy and how this may be mitigated by panniculectomy.

Surgical Outcome of Robotic Surgery in Morbidly Obese Patient With Endometrial Cancer Compared to Laparotomy

2012 ◽  
Vol 22 (1) ◽  
pp. 76-81 ◽  
Author(s):  
Marcus Q. Bernardini ◽  
Lilian T. Gien ◽  
Helen Tipping ◽  
Joan Murphy ◽  
Barry P. Rosen
Keyword(s):  
Endometrial Cancer ◽  
Robotic Surgery ◽  
Obese Patient ◽  
Perioperative Complications ◽  
Morbidly Obese ◽  
Complication Rates ◽  
Node Dissection ◽  
Historical Cohort ◽  
Morbidly Obese Patient ◽  
Laparotomy Group

IntroductionBefore the introduction of robotic surgery at our institution, most obese women of class 2 or greater (body mass index [BMI] >35) underwent a laparotomy for the management of endometrial cancer. Since November 2008, we have performed most of these cases in a robotic fashion. This manuscript presents the outcome of these women in comparison with a historical cohort of women treated with laparotomy.MethodsWomen with clinical stage I or II endometrial cancer and a BMI greater than 35 kg/m2 treated with robotic surgery at our institution between November 2008 and November 2010 were compared with a historical cohort of similar patients who underwent laparotomy. Patients’ characteristics, operating room time, type of surgery, length of hospital stay, and incidence of perioperative complications were compared between the 2 groups.ResultsA total of 86 women were analyzed in this study (robotic surgery, 45; laparotomy, 41). The overall intraoperative complication rate is 5.8%. There is no statistical difference in age, number of comorbidities, BMI, prior abdominal surgery, and operative complications between the women who underwent robotic surgery versus laparotomy. Postoperative complication rates are higher in the laparotomy group (44% vs 17.7%; P = 0.007), and hospital length of stay is also higher in the laparotomy group (4 vs 2 days; P < 0.001). There is no difference in rates of (pelvic) lymph node dissection; however, para-aortic node dissection is more common in the robotic surgery group.ConclusionRobotic surgery for the surgical management of the morbidly obese patient is shown to be safe and have less perioperative complications compared with open surgery.

Can bariatric surgery improve cardiovascular risk factors in the metabolically healthy but morbidly obese patient?

2014 ◽  
Vol 10 (5) ◽  
pp. 871-876 ◽  
Author(s):  
Alberto Goday ◽  
David Benaiges ◽  
Alejandra Parri ◽  
José M. Ramón ◽  
Juana A. Flores-Le Roux ◽  
...  
Keyword(s):  
Risk Factors ◽  
Bariatric Surgery ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Obese Patient ◽  
Morbidly Obese ◽  
Morbidly Obese Patient ◽  
Metabolically Healthy

scholarly journals Comparison of General and Regional Anesthesia in Morbidly Obese Patient: Case Report

2018 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Obese Patient ◽  
Spinal Anesthesia ◽  
Clinical Course ◽  
Obese Woman ◽  
Laser Lithotripsy ◽  
Morbidly Obese ◽  
Flexible Ureterorenoscopy ◽  
Diabetes Mellitus Type Ii ◽  
Morbidly Obese Patient ◽  
History Of

Obese patients and weight related health problems represent a great challenge for modern anesthesiologists to find most adequate and optimal anesthesiology technique. We would like to present a case of morbidly obese patient scheduled for flexible ureterorenoscopy and laser lithotripsy operation as treatment for nephrolithiasis at our urology clinic. Patient was a morbidly obese woman with BMI of 57 kg/m2 , with history of asthma; diabetes mellitus type II, arterial hypertension and hypothyreosis. Our case is specific because this patient had the same operation twice in two month period, first operation was done in general endotracheal anesthesia, and second one in regional spinal anesthesia. We show the preoperative, intraoperative and postoperative clinical course of the patient for both anesthesias. Patient clinical course was much better and she spent less time in hospital with spinal anesthesia. We think that spinal anesthesia would be a better choice in morbidly obese patient, off course, taking in to account indications and contraindications for it.

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