Cusimano MC, et al. - Via this systematic review, researchers examined patients with endometrial cancer and obesity (body mass index, ≥30 kg/m²) who underwent laparoscopic or robotic hysterectomy for conversion to laparotomy and perioperative complications. Searching MEDLINE, EMBASE, and Evidence-Based Medicine Reviews (January 1, 2000, to July 18, 2018), they included 51 observational studies reporting on 10,800 patients with endometrial cancer and obesity (study-level body mass index, 31.0–56.3 kg/m²). Robotic and laparoscopic hysterectomy in patients with endometrial cancer and obesity resulted in similar rates of perioperative complications (organ/vessel injury, venous thromboembolism, and blood transfusion). However, conversions could be reduced with robotic hysterectomy because of positional intolerance in patients with morbid obesity. The most common reason for conversion for both laparoscopic (32%) and robotic hysterectomy (61%) was inadequate exposure because of adhesions/visceral adiposity.