Total laparoscopic hysterectomy: The Brisbane learning curve

Garrett, A. J., Nascimento, M. C., Nicklin, J. L., Perrin, L. C. and Obermair, A. (2007) Total laparoscopic hysterectomy: The Brisbane learning curve. Australian & New Zealand Journal of Obstetrics & Gynaecology, 47 1: 65-69. doi:10.1111/j.1479-828X.2006.00682.x

Author Garrett, A. J.
Nascimento, M. C.
Nicklin, J. L.
Perrin, L. C.
Obermair, A.
Title Total laparoscopic hysterectomy: The Brisbane learning curve
Journal name Australian & New Zealand Journal of Obstetrics & Gynaecology   Check publisher's open access policy
ISSN 0004-8666
Publication date 2007-02
Sub-type Article (original research)
DOI 10.1111/j.1479-828X.2006.00682.x
Volume 47
Issue 1
Start page 65
End page 69
Total pages 5
Place of publication Oxford
Publisher Blackwell Publishing
Language eng
Subject 11 Medical and Health Sciences
Abstract Background: Total laparoscopic hysterectomy (TLH) is becoming more commonly used for gynaecological malignancies. Aims: To describe our experience with TLH since its introduction to our tertiary referral centre for gynaecological cancer in 2003. Methods: Retrospective analysis of the first 120 consecutive cases of TLH performed at our gynaecological cancer centre. Patients were divided into the first, second and third group of 40 patients. Operating time, estimated blood loss, hospital stay, conversion to laparotomy and intra- and postoperative morbidity were evaluated. Results: The three groups were similar with regard to baseline characteristics. For the entire group the mean hospital stay was 2.4 +/- 1.4 days and eight of 120 patients (6.6%) required conversion to laparotomy. Operating time, estimated blood loss and intraoperative morbidity were similar among the three groups. Postoperative morbidity was highest (25%) in the middle one-third of the patients (P = 0.022). The percentage of pelvic lymph node dissections increased from 2.5% in the first one-third of patients to 27.5% in the final one-third of patients (P = 0.003). Conclusions: TLH can be established safely in a tertiary gynaecological cancer referral centre.
Keyword Obstetrics & Gynecology
gynaecological cancer
laparoscopic hysterectomy
learning curve
new surgical technique
Vaginal Hysterectomy
Endometrial Cancer
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 10 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 18 Feb 2008, 16:05:36 EST