Evidence map›Paper›PMID 40911212›Full record

ReviewJournal of robotic surgery2025

Advanced robotic surgery in obese patients with gynecological cancers: tips and tricks from literature to clinical practice.

Simone Bruni, Giorgio Bogani, Alessandra Antonaci, Sergi Fernandez-Gonzalez, Marielle Nobbenhuis, Christos Iavazzo, Lorenzo Ceppi, Umberto Leone Roberti Maggiore, Gabriella Schivardi, Enrico Vizza and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Simone BruniGynecologic Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Via Venezian 1, 20133, Milan, Italy. simone.bruni@istitutotumori.mi.it.
Giorgio BoganiGynecologic Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Via Venezian 1, 20133, Milan, Italy.
Alessandra AntonaciDepartment of Gynecology, European Institute of Oncology (IEO) IRCCS, Milan, Italy.
Sergi Fernandez-GonzalezGynecologic Department, Bellvitge University Hospital (IDIBELL), Universitat de Barcelona (UB), Barcelona, Spain.
Marielle NobbenhuisDepartment of Gynaecological Oncology, The Royal Marsden Hospital, London, UK.
Christos IavazzoMetaxa Memorial Cancer Hospital, Piraeus, Greece.
Lorenzo CeppiGynecologic Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Via Venezian 1, 20133, Milan, Italy.
Umberto Leone Roberti MaggioreGynecologic Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Via Venezian 1, 20133, Milan, Italy.
Gabriella SchivardiDepartment of Gynecology, European Institute of Oncology (IEO) IRCCS, Milan, Italy.
Enrico VizzaDepartment of Experimental Clinical Oncology, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
Angelo MaggioniDepartment of Gynecology, European Institute of Oncology (IEO) IRCCS, Milan, Italy.
Vanna ZanagnoloDepartment of Gynecology, European Institute of Oncology (IEO) IRCCS, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obesity is closely linked to an increased incidence of several gynecological conditions and poses significant challenges to their surgical management. Among these, endometrial cancer stands out due to its high prevalence in patients with elevated body mass index, with nearly 60% of those requiring primary surgical treatment classified as obese or morbidly obese. The coexistence of multiple comorbidities in this population contributes to a heightened risk of perioperative and postoperative complications. Robotic-assisted surgery has emerged as a key advancement in minimally invasive gynecologic procedures, offering meaningful clinical advantages over conventional laparoscopy. These include decreased intraoperative blood loss, reduced complication rates, and shorter recovery times. Such benefits are particularly advantageous in obese patients, where robotic techniques are associated with significantly lower rates of conversion to laparotomy. Nonetheless, the surgical care of these patients remains complex and requires the coordinated expertise of seasoned surgical and anesthetic teams. The aim of this review is to provide evidence-based tips and techniques for performing successful minimally invasive robotic-assisted procedures in obese patients. This paper will review current evidence on: (1) operating room setup and patient preparation; (2) robotic port placement strategies; (3) pneumoperitoneum establishment and physiological considerations; (4) intraoperative techniques and (5) practical solutions for addressing challenges in retroperitoneal staging.

Indexed as

Genital Neoplasms, FemaleGynecologic Surgical ProceduresObesityRobotic Surgical ProceduresBody Mass IndexFemaleHumansLaparoscopyPneumoperitoneum, ArtificialPostoperative ComplicationsDockingGynecological cancersIntraoperative measuresObesityPatient preparationRobotic portsRobotic surgery

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.