Da Vinci Single-Port surgery in an obese woman affected by endometrial cancer

Minimally invasive surgery offers important benefits in terms of recovery, pain control, and reduced blood loss; however, its application in obese patients often remains challenging. The technical limitations imposed by body habitus-restricted working space, limited Trendelenburg positioning, and difficulties in trocar placement-can compromise both surgical exposure and oncologic radicality. In this context, the introduction of the Da Vinci SP robotic platform may represent a meaningful evolution in the management of this increasingly common patient population. The flexibility of the multi-jointed SP instruments and the ergonomic advantages of robotic control allow surgeons to overcome the typical restrictions encountered in this population. We believe that this report highlights an important step toward expanding the accessibility of minimally invasive radical surgery to all patients, regardless of BMI. The SP robotic approach combines surgical radicality, patient safety, and reduced invasiveness, suggesting a new paradigm for treating endometrial cancer in obese women.