Implementation of laparoscopic hysterectomy for endometrial cancer over the past decade

T. Wollinga, N.P.M. Ezendam, F.A. Eggink, M. Smink, D. van Hamont, B. Pijlman, E. Boss, E.J. Robbe, H. Ngo, D. Boll, C.H. Mom, M.A. van der Aa, R.F.L.P. Kruitwagen, H.W. Nijman, J.M.A. Pijnenborg

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Abstract

Background:
Laparoscopic hysterectomy (LH) for the treatment of early-stage endometrial carcinoma/cancer (EC) has demonstrated to be safe in several randomized controlled trials. Yet, data on implementation of LH in clinical practice are limited. In the present study, implementation of LH for EC was evaluated in a large oncology network in the Netherlands.
Results:
Retrospectively, a total of 556 EC patients with FIGO stage I-II were registered in the selected years. The proportion of LH gradually increased from 11% in 2006 to 85% in 2015. LH was more often performed in patients with low-grade EC and was not related to the studied patient characteristics. The introduction of TLH was frequently preceded by LAVH. Patients treated in teaching hospitals were more likely to undergo a LH compared to patients in non-teaching hospitals. The conversion rate was 7.7%, and the overall complication rates between LH and AH were comparable, but less postoperative complications in LH.
Conclusions:
Implementation of laparoscopic hysterectomy for early-stage EC increased from 11 to 85% in 10 years. Implementation of TLH was often preceded by LAVH and was faster in teaching hospitals.
Original languageEnglish
Article number7
Number of pages8
JournalGynecological Surgery
Volume15
Issue number1
DOIs
Publication statusPublished - 2018

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Endometrial Neoplasms
Teaching Hospitals
Netherlands

Keywords

  • CARCINOMA
  • CARE
  • Endometrial cancer
  • GYNECOLOGISTS
  • Implementation
  • Laparoscopic hysterectomy
  • MINIMALLY INVASIVE SURGERY
  • NETHERLANDS
  • RADIOTHERAPY
  • RANDOMIZED-TRIAL
  • STAGE
  • SURVIVAL
  • UTERINE-CANCER

Cite this

Wollinga, T., Ezendam, N. P. M., Eggink, F. A., Smink, M., van Hamont, D., Pijlman, B., ... Pijnenborg, J. M. A. (2018). Implementation of laparoscopic hysterectomy for endometrial cancer over the past decade. Gynecological Surgery, 15(1), [7]. https://doi.org/10.1186/s10397-018-1040-x
Wollinga, T. ; Ezendam, N.P.M. ; Eggink, F.A. ; Smink, M. ; van Hamont, D. ; Pijlman, B. ; Boss, E. ; Robbe, E.J. ; Ngo, H. ; Boll, D. ; Mom, C.H. ; van der Aa, M.A. ; Kruitwagen, R.F.L.P. ; Nijman, H.W. ; Pijnenborg, J.M.A. / Implementation of laparoscopic hysterectomy for endometrial cancer over the past decade. In: Gynecological Surgery. 2018 ; Vol. 15, No. 1.
@article{d9982a87e8e04d43b7b7c99026a41558,
title = "Implementation of laparoscopic hysterectomy for endometrial cancer over the past decade",
abstract = "Background: Laparoscopic hysterectomy (LH) for the treatment of early-stage endometrial carcinoma/cancer (EC) has demonstrated to be safe in several randomized controlled trials. Yet, data on implementation of LH in clinical practice are limited. In the present study, implementation of LH for EC was evaluated in a large oncology network in the Netherlands.Results: Retrospectively, a total of 556 EC patients with FIGO stage I-II were registered in the selected years. The proportion of LH gradually increased from 11{\%} in 2006 to 85{\%} in 2015. LH was more often performed in patients with low-grade EC and was not related to the studied patient characteristics. The introduction of TLH was frequently preceded by LAVH. Patients treated in teaching hospitals were more likely to undergo a LH compared to patients in non-teaching hospitals. The conversion rate was 7.7{\%}, and the overall complication rates between LH and AH were comparable, but less postoperative complications in LH.Conclusions: Implementation of laparoscopic hysterectomy for early-stage EC increased from 11 to 85{\%} in 10 years. Implementation of TLH was often preceded by LAVH and was faster in teaching hospitals.",
keywords = "CARCINOMA, CARE, Endometrial cancer, GYNECOLOGISTS, Implementation, Laparoscopic hysterectomy, MINIMALLY INVASIVE SURGERY, NETHERLANDS, RADIOTHERAPY, RANDOMIZED-TRIAL, STAGE, SURVIVAL, UTERINE-CANCER",
author = "T. Wollinga and N.P.M. Ezendam and F.A. Eggink and M. Smink and {van Hamont}, D. and B. Pijlman and E. Boss and E.J. Robbe and H. Ngo and D. Boll and C.H. Mom and {van der Aa}, M.A. and R.F.L.P. Kruitwagen and H.W. Nijman and J.M.A. Pijnenborg",
year = "2018",
doi = "10.1186/s10397-018-1040-x",
language = "English",
volume = "15",
journal = "Gynecological Surgery",
issn = "1613-2076",
publisher = "Springer Verlag",
number = "1",

}

Wollinga, T, Ezendam, NPM, Eggink, FA, Smink, M, van Hamont, D, Pijlman, B, Boss, E, Robbe, EJ, Ngo, H, Boll, D, Mom, CH, van der Aa, MA, Kruitwagen, RFLP, Nijman, HW & Pijnenborg, JMA 2018, 'Implementation of laparoscopic hysterectomy for endometrial cancer over the past decade', Gynecological Surgery, vol. 15, no. 1, 7. https://doi.org/10.1186/s10397-018-1040-x

Implementation of laparoscopic hysterectomy for endometrial cancer over the past decade. / Wollinga, T.; Ezendam, N.P.M.; Eggink, F.A.; Smink, M.; van Hamont, D.; Pijlman, B.; Boss, E.; Robbe, E.J.; Ngo, H.; Boll, D.; Mom, C.H.; van der Aa, M.A.; Kruitwagen, R.F.L.P.; Nijman, H.W.; Pijnenborg, J.M.A.

In: Gynecological Surgery, Vol. 15, No. 1, 7, 2018.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Implementation of laparoscopic hysterectomy for endometrial cancer over the past decade

AU - Wollinga, T.

AU - Ezendam, N.P.M.

AU - Eggink, F.A.

AU - Smink, M.

AU - van Hamont, D.

AU - Pijlman, B.

AU - Boss, E.

AU - Robbe, E.J.

AU - Ngo, H.

AU - Boll, D.

AU - Mom, C.H.

AU - van der Aa, M.A.

AU - Kruitwagen, R.F.L.P.

AU - Nijman, H.W.

AU - Pijnenborg, J.M.A.

PY - 2018

Y1 - 2018

N2 - Background: Laparoscopic hysterectomy (LH) for the treatment of early-stage endometrial carcinoma/cancer (EC) has demonstrated to be safe in several randomized controlled trials. Yet, data on implementation of LH in clinical practice are limited. In the present study, implementation of LH for EC was evaluated in a large oncology network in the Netherlands.Results: Retrospectively, a total of 556 EC patients with FIGO stage I-II were registered in the selected years. The proportion of LH gradually increased from 11% in 2006 to 85% in 2015. LH was more often performed in patients with low-grade EC and was not related to the studied patient characteristics. The introduction of TLH was frequently preceded by LAVH. Patients treated in teaching hospitals were more likely to undergo a LH compared to patients in non-teaching hospitals. The conversion rate was 7.7%, and the overall complication rates between LH and AH were comparable, but less postoperative complications in LH.Conclusions: Implementation of laparoscopic hysterectomy for early-stage EC increased from 11 to 85% in 10 years. Implementation of TLH was often preceded by LAVH and was faster in teaching hospitals.

AB - Background: Laparoscopic hysterectomy (LH) for the treatment of early-stage endometrial carcinoma/cancer (EC) has demonstrated to be safe in several randomized controlled trials. Yet, data on implementation of LH in clinical practice are limited. In the present study, implementation of LH for EC was evaluated in a large oncology network in the Netherlands.Results: Retrospectively, a total of 556 EC patients with FIGO stage I-II were registered in the selected years. The proportion of LH gradually increased from 11% in 2006 to 85% in 2015. LH was more often performed in patients with low-grade EC and was not related to the studied patient characteristics. The introduction of TLH was frequently preceded by LAVH. Patients treated in teaching hospitals were more likely to undergo a LH compared to patients in non-teaching hospitals. The conversion rate was 7.7%, and the overall complication rates between LH and AH were comparable, but less postoperative complications in LH.Conclusions: Implementation of laparoscopic hysterectomy for early-stage EC increased from 11 to 85% in 10 years. Implementation of TLH was often preceded by LAVH and was faster in teaching hospitals.

KW - CARCINOMA

KW - CARE

KW - Endometrial cancer

KW - GYNECOLOGISTS

KW - Implementation

KW - Laparoscopic hysterectomy

KW - MINIMALLY INVASIVE SURGERY

KW - NETHERLANDS

KW - RADIOTHERAPY

KW - RANDOMIZED-TRIAL

KW - STAGE

KW - SURVIVAL

KW - UTERINE-CANCER

U2 - 10.1186/s10397-018-1040-x

DO - 10.1186/s10397-018-1040-x

M3 - Article

C2 - 29568254

VL - 15

JO - Gynecological Surgery

JF - Gynecological Surgery

SN - 1613-2076

IS - 1

M1 - 7

ER -