ArticleGynecologic oncology2014
Minimally invasive surgery for endometrial cancer: does operative start time impact surgical and oncologic outcomes?
Article in Gynecologic oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 19 citations in OpenAlex.
- Review
- Safety of nighttime elective hepatectomy for hepatocellular carcinoma patients: a retrospective study.Annals of surgical treatment and research · 2024Article
- Surgical starting time of the day and survival in gastric cancer.Scientific reports · 2023Article
- Surgical treatment of endometrioid endometrial carcinoma - laparotomy versus laparoscopyJournal of the Turkish German Gynecological Association · 2022Article
- A model-based validation study of postoperative complications with considerations on operative timing.Annals of translational medicine · 2021Article
- Operation start time and long-term outcome of hepatocellular carcinoma after curative hepatic resection.Annals of surgical treatment and research · 2020Article
- Socio-demographic factors impact time to discharge following total knee arthroplasty.World journal of orthopedics · 2018Article
- The effect of surgical start time in patients undergoing minimally invasive sacrocolpopexy.International urogynecology journal · 2016Article
- Predictive Factor of Conversion to Laparotomy in Minimally Invasive Surgical Staging for Endometrial Cancer.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2016Article
- Emergency Gynecologic Surgery Outcomes During Working and Off-Hours.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveRecent literature in ovarian cancer suggests differences in surgical outcomes depending on operative start time. We sought to examine the effects of operative start time on surgical outcomes for patients undergoing minimally invasive surgery for endometrial cancer.
methodsA retrospective review was conducted of patients undergoing minimally invasive surgery for endometrial cancer at a single institution between 2000 and 2011. Surgical and oncologic outcomes were compared between patients with an operative start time before noon and those with a surgical start time after noon.
resultsA total of 380 patients were included in the study (245 with start times before noon and 135 with start times after noon). There was no difference in age (p=0.57), number of prior surgeries (p=0.28), medical comorbidities (p=0.19), or surgical complexity of the case (p=0.43). Patients with surgery starting before noon had lower median BMI than those beginning after noon, 31.2 vs. 35.3 respectively (p=0.01). No significant differences were observed for intraoperative complications (4.4% of patients after noon vs. 3.7% of patients before noon, p=0.79), estimated blood loss (median 100 cc vs. 100 cc, p=0.75), blood transfusion rates (7.4% vs. 8.2%, p=0.85), and conversion to laparotomy (12.6% vs. 7.4%, p=0.10). There was no difference in operative times between the two groups (198 min vs. 216.5 min, p=0.10). There was no association between operative start time and postoperative non-infectious complications (11.9% vs. 11.0%, p=0.87), or postoperative infections (17.8% vs. 12.3%, p=0.78). Length of hospital stay was longer for surgeries starting after noon (median 2 days vs. 1 day, p=0.005). No differences were observed in rates of cancer recurrence (12.6% vs. 8.8%, p=0.39), recurrence-free survival (p=0.97), or overall survival (p=0.94).
conclusionOur results indicate equivalent surgical outcomes and no increased risk of postoperative complications regardless of operative start time in minimally invasive endometrial cancer staging, despite longer length of hospital stay for surgeries beginning after noon.
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