The Impact of Body Mass Index on Sentinel Lymph Node Identification in Endometrial Cancer

Obesity negatively impacts the technical success of SLN mapping in endometrial cancer, with lower bilateral detection rates and higher mapping failures observed in obese patients. These findings underscore the need for surgical strategies tailored to obese patients, such as optimizing tracer injection techniques, utilizing advanced imaging technologies, and incorporating preoperative planning to account for anatomical challenges. Addressing these factors may enhance SLN detection and improve staging accuracy in this high-risk population.