A case of laparoscopic total hysterectomy for uterine endometrial cancer in a patient with severe obesity and a giant thyroid tumor

Laparoscopic hysterectomy is widely performed in obese patients Japan; however few studies have reported on laparoscopic surgery with severe obesity (body mass index [BMI] > 35 kg/m2). Here, we share our experience of performing for endometrial carcinoma a patient and giant thyroid tumor. Our was 69-year-old woman (height 151 cm, weight 104 kg [BMI 45 kg/m2]) history hypertension, diabetes mellitus, hyperlipidemia appendectomy, who presented cancer Endometrial biopsy findings revealed carcinosarcoma magnetic resonance imaging showed an tumor without myometrial or cervical stromal invasion, uterine adnexal metastasis. Computed tomography the left lobe (82 mm) bronchial compression, but no lymphadenopathy. Fine needle aspiration cytology benign Because tumor, concomitant thyroidectomy. We initially thyroidectomy under general anesthesia using tracheal intubation (tube diameter: 6 supine position, followed by 7 placed Trendelenburg position. After surgery, admitted intensive care unit only one day, after uneventful course, discharged day 5 postoperatively. Adjuvant chemotherapy initiated at 1 month This report highlights that can reduce perioperative complications enable prompt initiation adjuvant obesity. Thus, comorbidities are not contraindications surgery.