Learning curve for gynecological oncologists in performing upper abdominal surgery.

Minerva ginecologica
Mariaclelia La RussaNikolaos Burbos

Abstract

To assess the learning curve for gynecological oncologists in performing upper abdominal surgery for management of patients with advanced epithelial ovarian cancer (EOC). Patients undergoing cytoreductive surgery for stage IIIC and IV EOC that required at least one surgical procedure in the upper abdomen were divided in three numerically equal groups: group 1, 2 and 3 that underwent surgery between December 2012 and July 2014, August 2014 to March 2016 and April 2016 to March 2018 respectively. One hundred and twenty-six patients were included. The percentage of patients undergoing primary surgery for group 1, 2 and 3 was 47.6%, 50.0% and 73.8%, respectively (P=0.02). There was significant increase in the percentage of patients undergoing cholecystectomy (P=0.02), resection of disease from porta hepatis (P=0.008), liver capsulectomy (P<0.001), lesser omentectomy (P<0.001) and celiac trunk lymphadenectomy (P<0.001) in the group 3. There was no difference in the percentage of patients undergoing splenectomy, diaphragmatic peritonectomy/resection and gastrectomy. Complete cytoreduction was achieved in 54.8%, 35.7% and 64.3% of patients in group 1, 2 and 3 respectively (P=0.028). There was no significant difference in the occurrenc...Continue Reading

References

Mar 1, 2002·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Robert E BristowF J Montz
Nov 26, 2005·American Journal of Surgery·Peter H LinAlan B Lumsden
Jan 6, 2006·Obstetrics and Gynecology·Giovanni D AlettiWilliam A Cliby
Feb 20, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Michael A BookmanLawrence M Roth
Sep 8, 2010·The New England Journal of Medicine·Ignace VergoteUNKNOWN NCIC Clinical Trials Group
Jun 28, 2011·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Nikolaos BurbosJoaquin J Nieto
Aug 24, 2011·Obstetrics and Gynecology·Melissa M ThrallHeidi J Gray
Apr 5, 2016·Archives of Gynecology and Obstetrics·Christina FotopoulouRichard Stümpfle

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