The influence of surgeon volume on outcomes after pelvic exenteration for a gynecologic cancer

To determine the effect of surgeon experience on intraoperative, postoperative and long-term outcomes among patients undergoing pelvic exenteration for gynecologic cancer. This was a retrospective analysis of all women who underwent exenteration for a gynecologic malignancy at MD Anderson Cancer Cen...

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Bibliographic Details
Published in:Journal of gynecologic oncology 2018, 29(5), , pp.1-8
Main Authors: Jalloul, Randa J, Nick, Alpa M, Munsell, Mark F, Westin, Shannon N, Ramirez, Pedro T, Frumovitz, Michael, Soliman, Pamela T
Format: Article
Language:English
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산부인과학
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Summary:To determine the effect of surgeon experience on intraoperative, postoperative and long-term outcomes among patients undergoing pelvic exenteration for gynecologic cancer. This was a retrospective analysis of all women who underwent exenteration for a gynecologic malignancy at MD Anderson Cancer Center, between January 1993 and June 2013. A logistic regression was used to model the relationship between surgeon experience (measured as the number of exenteration cases performed by the surgeon prior to a given exenteration) and operative outcomes and postoperative complications. Cox proportional hazards regression was used to model survival outcomes. A total of 167 exenterations were performed by 19 surgeons for cervix (78, 46.7%), vaginal (43, 25.8%), uterine (24, 14.4%), vulvar (14, 8.4%) and other cancer (8, 4.7%). The most common procedure was total pelvic exenteration (69.4%), incontinent urinary diversion (63.5%) and vertical rectus abdominis musculocutaneous reconstruction (42.5%). Surgical experience was associated with decreased estimated blood loss (p
ISSN:2005-0380
2005-0399
DOI:10.3802/jgo.2018.29.e68