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Evidence to Improve Care

Robotic-Assisted Hysterectomy for Endometrial Cancer in People With Obesity

Final Recommendation

  • Ontario Health, based on guidance from the Ontario Health Technology Advisory Committee, recommends publicly funding robotic-assisted hysterectomy for endometrial cancer in people with obesity.

Read the final recommendation report


Hysterectomy (the surgical removal of the uterus) is the most common treatment for early-stage endometrial cancer (cancer in the lining of the uterus). Types of hysterectomy include open hysterectomy (OH; an invasive procedure that involves a large surgical incision), laparoscopic hysterectomy (LH; a minimally invasive procedure that involves several smaller incisions and the use of smaller surgical tools), and robotic-assisted hysterectomy (RH; a minimally invasive procedure that involves the use of a robotic system operated by the surgeon).

RH may offer a clinical benefit over LH for people with obesity because the robotic instruments may optimize operative technique and exposure, with the robotic arms supporting the weight of the abdominal wall and facilitating ventilation by allowing for reduced pressure in the abdomen.

This health technology assessment looked at how safe, effective, and cost-effective RH is for the treatment of endometrial cancer in people with obesity. It also looked at the budget impact of publicly funding RH and at the experiences, preferences, and values of people with endometrial cancer and obesity, as well as those of cancer surgeons.

Read the full health technology assessment report for more information.

Robotic-Assisted Hysterectomy for Endometrial Cancer in People With Obesity : A Health Technology Assessment (PDF)
October 2023

  • PDF

  • XML (accessible version)

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The Ministry of Health has accepted this recommendation.

The Ministry of Health has provided the following response: The Ministry has a standardized process in place to review health technology assessments and funding recommendations. This takes into consideration Ministry priorities, implementation options, the need for consultation with impacted stakeholders, and funding considerations.



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