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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