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abstract
Objectives: To evaluate the current patterns of use of
minimally invasive surgical procedures, including traditional,
robotic-assisted, and single-port laparoscopy, by Society of Gynecologic
Oncology (SGO) members and to compare the results to those of our 2004
and 2007 surveys.
Methods: The Society of Gynecologic Oncology members
were surveyed through an online or mailed-paper survey. Data were
analyzed and compared with results of our prior surveys.
Results: Four hundred six (32%) of 1279 SGO members
responded. Eighty-three percent of respondents (n = 337) performed
traditional laparoscopic surgery (compared with 84% in 2004 and 91% in
2007). Ninety-seven percent of respondents performed robotic surgery
(compared with 27% in 2007). When respondents were asked to indicate
procedures that they performed with the robot but not with traditional
laparoscopy, 75% indicated radical hysterectomy and pelvic
lymphadenectomy for cervical cancer. Overall, 70% of respondents
indicated that hysterectomy and staging for uterine cancer was the
procedure they most commonly performed with a minimally invasive
approach. Only 17% of respondents who performed minimally invasive
surgery performed single-port laparoscopy, and only 5% of respondents
indicated that single-port laparoscopy has an important or very important role in the field.
Conclusions: Since our prior surveys, we found a
significant increase in the overall use and indications for robotic
surgery. Radical hysterectomy or trachelectomy and pelvic
lymphadenectomy for cervical cancer and total hysterectomy and staging
for endometrial cancer were procedures found to be significantly more
appropriate for the robotic platform in comparison to traditional
laparoscopy. The indications for laparoscopy have expanded beyond
endometrial cancer staging to include surgical management of early-stage
cervical and ovarian cancers, but the use of single-port laparoscopy
remains limited.
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