Defining and mitigating the challenges of an older and obese population in minimally invasive gynecologic cancer surgery

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

The incidence of endometrial cancer (EC) is steadily increasing due in large part to an aging world population and rise in rates of obesity. Patients with obesity and advancing age can be seen as vulnerable populations, as they are both often subject to physician bias regarding surgical choices and assumptions regarding long-term outcomes. As we operate on an older and/or obese patient population, it is increasingly important that we adopt peri-operative management strategies and surgical techniques to best serve this complex patient population. Careful orchestration pre-, intra- and postoperatively is key to successful outcomes in robotic and laparoscopic surgery. Here, we review existing literature regarding EC in women with older age and/or obesity, outline recommendations for peri-operative management and common intra-operative issues—specifically common anesthetic issues surrounding cardiovascular, respiratory and neuromuscular systems—that are of heightened importance in women with older age and/or obesity. The goal of this review is to help define and mitigate common complications for these vulnerable patients with an EC diagnosis who, in accordance with carefully assessed health risks, can and should be offered standard of care surgery and treatment.

Original languageEnglish
Pages (from-to)601-608
Number of pages8
JournalGynecologic oncology
Volume148
Issue number3
DOIs
StatePublished - Mar 2018

Keywords

  • Aging population
  • Endometrial cancer
  • Minimally-invasive surgery
  • Obesity

Fingerprint Dive into the research topics of 'Defining and mitigating the challenges of an older and obese population in minimally invasive gynecologic cancer surgery'. Together they form a unique fingerprint.

Cite this