Transvaginal Natural Orifice Endoscopic Surgery for Extremely Obese Patients With Early-stage Endometrial Cancer

Transvaginal Natural Orifice Endoscopic Surgery (v-NOTES) for Extremely Obese Patients With Early-stage Endometrial Cancer

The aim of this study is to investigate the feasibility and efficacy of the v-NOTES approach for extremely obese patients with early-stage type 1 endometrial cancer.

Inclusion Criteria:

• Extreme obese patients
• Early stage type-1 endometrial cancer proved by endometrial sampling

Exclusion Criteria:

• any contraindication for pneumoperitoneum
• any contraindication for the dorsal lithotomy position
• any contraindication for general anesthesia,
• any contraindication for v-NOTES
• suspicion of pelvic adhesions
• presence or suspicion of obliteration of the pouch of Douglas