IMR Press / EJGO / Volume 43 / Issue 1 / DOI: 10.31083/j.ejgo4301001
Open Access Case Report
Combined panniculectomy and surgical staging of endometrial cancer: the Northern Ireland experience
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1 Department of Gynaecological Oncology, Trinity St. James Cancer Institute, St. James’ Hospital, D08 NHY1 Dublin, Ireland
2 Patrick G Johnston Centre for Cancer Research, Queen’s University, BT9 7AE Belfast, Northern Ireland
3 Royal Derby Hospital, University Hospitals of Derby and Burton NHS Trust, DE22 3NE Derby, UK
4 Royal Jubilee Maternity Service, Royal Group of Hospitals, Belfast Health and Social Care Trust, BT12 6BA Belfast, Northern Ireland
5 Department of Plastic Surgery, Ulster Hospital, South-Eastern Health and Social Care Trust, Dundonald, BT16 1RH Northern Ireland
6 Northern Ireland Gynaecological Cancer Centre, Belfast City Hospital, Belfast Health and Social Care Trust, Belfast, BT9 7AB Northern Ireland
7 Department of Obstetrics and Gynaecology, Ulster Hospital, South-Eastern Health and Social Care Trust, BT16 1RH Dundonald, Northern Ireland
8 Department of Medical Photography, Ulster Hospital, South-Eastern Health and Social Care Trust, BT16 1RH Dundonald, Northern Ireland
9 Department of Anaesthetics, Ulster Hospital, South-Eastern Health and Social Care Trust, Dundonald, BT16 1RH Northern Ireland
10 Department of Pathology, Royal Group of Hospitals, Belfast Health and Social Care Trust, BT12 6BA Belfast, Northern Ireland

These authors contributed equally.
Academic Editor: Enrique Hernandez

Eur. J. Gynaecol. Oncol. 2022 , 43(1), 1; https://doi.org/10.31083/j.ejgo4301001
Submitted: 6 July 2021 | Revised: 5 October 2021 | Accepted: 11 October 2021 | Published: 12 January 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Endometrial cancer is the most common gynaecological malignancy in the Western world and has a strong association with obesity. The incidence of endometrial cancer is rising and can be attributed, in part, to the ongoing obesity epidemic. The surgical management of endometrial cancer in women with class III obesity, defined as those with a body mass index (BMI) 40 kg/m2, can be particularly challenging. Case(s): We report the early experience of panniculectomy as an adjunct to endometrial cancer staging surgery in Northern Ireland (NI). We outline the generic surgical approach and report the outcomes of the first four cases undertaken. We discuss the important role that panniculectomy holds in the surgical management of endometrial cancer in women with III obesity. Conclusion: The initial experience, in NI, of panniculectomy as an adjunct to endometrial cancer staging surgery greatly facilitated surgical exposure and allowed adequate surgical staging to be performed. In carefully selected cases, the surgical procedure can be completed safely and effectively with greater ease.

Keywords
Obesity
Endometrial cancer
Panniculectomy
Apronectomy
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