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The effect of experience on the outcomes of total laparoscopic hysterectomy surgery: 1295 cases
, 1, 1, 1, 1, 1
Affiliations- Tepecik Training and Research Hospital Izmir, Turkey, Türkiye
- Osmaniye State Hospital Osmaniye, Turkey, Türkiye
open access
Abstract
Objectives: To reveal the effect of surgeon's experience on the outcomes of the total laparoscopic hysterectomy (TLH) surgery. Material and methods: Design: Retrospective case series. Setting: A tertiary care university hospital. Patients: 1295 cases with an indication for hysterectomy. Interventions: Total laparoscopic hysterectomy. Results: All cases were grouped according to the surgeon’s experience. For 30 different surgeons, their first 20 operations constituted Group A, 21st–50th operations Group B, 51st–100th operations Group C, and their operations after the 100th surgery Group D. Demographic data and post-operative results were compared between the groups. There were no statistical differences in terms of demographic data and major complications. A statistically significant decrease was observed in the post-operative fall in hemoglobin level and the duration of hospitalization in the groups with increased experience (p = 0.021, p < 0.001, respectively). There wasn’t an increase in uterine specimen weight with increased experience (p = 0.267). Conclusions: We obtained that the peak value in the learning curve cannot be evaluated according to the operation time or complication rates. Although the complication rate seems unaffected by surgical experience, concerns about complications may decrease as experience increases. Since the trend of minimally invasive surgery will continue increasingly in the next century because of higher patient comfort, all gynecologists should gain competence in endoscopic surgery.
Abstract
Objectives: To reveal the effect of surgeon's experience on the outcomes of the total laparoscopic hysterectomy (TLH) surgery. Material and methods: Design: Retrospective case series. Setting: A tertiary care university hospital. Patients: 1295 cases with an indication for hysterectomy. Interventions: Total laparoscopic hysterectomy. Results: All cases were grouped according to the surgeon’s experience. For 30 different surgeons, their first 20 operations constituted Group A, 21st–50th operations Group B, 51st–100th operations Group C, and their operations after the 100th surgery Group D. Demographic data and post-operative results were compared between the groups. There were no statistical differences in terms of demographic data and major complications. A statistically significant decrease was observed in the post-operative fall in hemoglobin level and the duration of hospitalization in the groups with increased experience (p = 0.021, p < 0.001, respectively). There wasn’t an increase in uterine specimen weight with increased experience (p = 0.267). Conclusions: We obtained that the peak value in the learning curve cannot be evaluated according to the operation time or complication rates. Although the complication rate seems unaffected by surgical experience, concerns about complications may decrease as experience increases. Since the trend of minimally invasive surgery will continue increasingly in the next century because of higher patient comfort, all gynecologists should gain competence in endoscopic surgery.
Keywords
complications; hysterectomy; laparoscopy; learning curve; outcomes
About this articleTitle
The effect of experience on the outcomes of total laparoscopic hysterectomy surgery: 1295 cases
Journal
Issue
Article type
Research paper
Pages
681-685
Published online
2022-04-06
Page views
4041
Article views/downloads
478
DOI
Pubmed
Bibliographic record
Ginekol Pol 2022;93(9):681-685.
Keywords
complications
hysterectomy
laparoscopy
learning curve
outcomes
Authors
Meric Balikoglu
Burak Bayraktar
Dilber Filiz
Emrah Beyan
Abdurrahman Hamdi Inan
Mehmet Ozeren
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