Trends in laparoscopic and robotic surgery among gynecologic oncologists: A survey update

Abstract

Objectives To assess the use of traditional and robotic assisted laparoscopy by Society of Gynecologic Oncology (SGO) members and to compare the results with those of our published survey in 2004. Methods Surveys were mailed to SGO members, and anonymous responses were collected by mail or through a web site. Data were analyzed and compared with those of our previous survey. In addition, we gathered information on the effect of robotic assisted surgery on the management of gynecologic malignancies. Results Three hundred eighty-eight (46%) of 850 SGO members responded to the survey. Three hundred fifty-two (91%) indicated that they performed laparoscopic surgery in their practice (compared with 84% in the 2004 survey). The three most common laparoscopic procedures were laparoscopic hysterectomy and staging for uterine cancer (43%), diagnostic laparoscopy for adnexal masses (39%), and prophylactic bilateral oophorectomy for high-risk women (11%). Although 76% of respondents had received either limited or no laparoscopic training during their fellowship, 78% now believe that maximum or much emphasis should be placed on laparoscopic training (55% in the 2004 survey). Twenty-four percent of respondents indicated that they performed robotic assisted surgery, with 66% indicating that they planned to increase their use of the procedure in the next year. Conclusions We found an overall increase in the use of and perceived indications for minimally invasive surgery in gynecologic oncology among SGO members. Endometrial cancer staging has become an accepted indication for laparoscopy. In addition, most respondents were planning on increasing their use of robotic assisted surgery in the next year.

Gynecologic Laparoscopy

“…This allows for more easily identi fi able pelvic anatomy while patients experience decreased postoperative morbidity and faster recovery to permit rapid initiation of adjuvant radiotherapy or chemotherapy. The safety pro fi le of the da Vinci utilized for gynecologic oncology applications appears reassuring, with less blood loss and a low complication rate in managing ovarian, endometrial, and cervical cancers, respectively [38][39][40] .…”

Recent advances of robotic surgery and single port laparoscopy in gynecologic oncology

“…[29][30][31][32][33] However, a recent survey investigating the use of MIS by the Society of Gynecologic Oncology (SGO) members showed that only 26% of SGO members considered laparoscopic radical hysterectomy as an appropriate approach to the management of cervical cancer. 34 The Korean Gynecologic Oncology Group (KGOG) Survey also revealed that only 49% of KGOG members used laparoscopy for endometrial cancer staging surgery. 35 The potential obstacles to the widespread acceptance of minimally invasive approach in gynecologic cancer are the technical difficulties of conventional laparoscopic surgery.…”

Robot-assisted laparoscopy in gynoncologic surgery: what’s new?

“…Mots clé s : Chirurgie mini-invasiveCoelioscopie robot-assisté e -Cancer du col uté rin -Cancer de l'endomè tre Introduction Depuis plus de 20 ans, la chirurgie coelioscopique a pris une place croissante en chirurgie gyné cologique oncologique [12]. Ses avantages par rapport à la chirurgie ouverte sont maintenant reconnus, ré duisant les pertes sanguines, les douleurs postopé ratoires, la duré e d'hospitalisation et la convalescence, associé s à un pré judice esthé tique moindre.…”