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

The feasibility and efficacy of the v-NOTES approach for extremely obese patients with early-stage type 1 endometrial cancer was assessed through operating time, any conversion to conventional laparoscopy or laparotomy, any intra- or post-operative complication, estimated blood loss, pre- and post-operative hemoglobin levels, pain scores [derived using a visual analog scale (VAS)] at 6, 12, and 24 h postoperatively, length of hospital stay, and the final pathology.