Uncomplicated robotic-assisted laparoscopic hysterectomy (RALH) in a peritoneal dialysis patient with endometrial cancer and clinical obesity - a case report.

BACKGROUND

Major abdominal surgery frequently leads to peritoneal dialysis (PD) dropout and technique failure, owing to complications that compromise the integrity of the abdominal wall or the peritoneal cavity. CASE PRESENTATION: We report the first case of an uncomplicated robotic-assisted laparoscopic total hysterectomy for endometrial cancer (EC) in a 46-year-old PD patient with clinical obesity (Body Mass Index 38 kg/m2). Following a short-term planned transfer to hemodialysis in the immediate postoperative period, she was able to resume her regular PD regime, demonstrating that technique survival is feasible despite major surgery and multiple risk factors.

CONCLUSION

This case demonstrates that robotic surgery can be safely performed in a PD patient with endometrial cancer, when supported by careful planning and close interdisciplinary collaboration.