ArticleSurgical endoscopy2018
Surgical volume and conversion rate in laparoscopic hysterectomy: does volume matter? A multicenter retrospective cohort study.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 24 citations in OpenAlex.
- Predicting bladder-to-uterine adhesions in patients undergoing hysterectomy using sliding-bladder sign technique with preoperative ultrasound: a diagnostic accuracy study.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026Article
- Analysis of the incidence and risk factors of blood transfusion in robot-assisted laparoscopic total hysterectomy: a retrospective nationwide inpatient sample database study.Perioperative medicine (London, England) · 2025Article
- Pioneering robotic surgery for complex gynecologic conditions: implementation beyond cancer care.Journal of robotic surgery · 2025Article
- Article
- Conversion to laparotomy during laparoscopic hysterectomy: a meta-analysis of prevalence and key risk factors.Frontiers in surgery · 2025Article
- Exploring robotic total hysterectomies: a multi-site experience with the Senhance Surgical System.Journal of robotic surgery · 2024Article
- Predictive factors for conversion to laparotomy in women undergoing laparoscopic hysterectomy. A re-evaluation of clinicopathological factors in the era of minimally invasive gynaecology.Facts, views & vision in ObGyn · 2024Article
- Evaluation of the effect of previous endometriosis surgery on clinical and surgical outcomes of subsequent endometriosis surgery.Archives of gynecology and obstetrics · 2023Article
- Multi-Institutional Trends in Gynecological Robotic Surgery in India: A Real-World Scenario.Cureus · 2023Article
- Surgical outcome predictor analysis following hand-assisted or pure laparoscopic transperitoneal nephroureterectomy using the Taiwan upper urinary tract urothelial carcinoma database.Frontiers in surgery · 2022Article
- Implementation of Total Laparoscopic Hysterectomy As the Default Technique and Lessons Learnt.Cureus · 2021Article
- Economic evaluation of different routes of surgery for the management of endometrial cancer: a retrospective cohort study.BMJ open · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA multicenter, retrospective, cohort study was conducted in the Netherlands. The aim was to evaluate whether surgical volume of laparoscopic hysterectomies (LHs) performed by proven skilled gynecologists had an impact on the conversion rate from laparoscopy to laparotomy.
methodsIn 14 hospitals, all LHs performed by 19 proven skilled gynecologists between 2007 and 2010 were included in the analysis. Surgical volume, conversion rate and type of conversion (reactive or strategic) were retrospectively assessed. To estimate the impact of surgical volume on the conversion rate, logistic regressions were performed. These regressions were adjusted for patient's age, Body Mass Index (BMI), ASA classification, previous abdominal surgery and the indication (malignant versus benign) for the LH.
resultsDuring the study period, 19 proven skilled gynecologists performed a total of 1051 LHs. Forty percent of the gynecologists performed over 20 LHs per year (median 17.3, range 5.4-49.5). Conversion to laparotomy occurred in 5.0% of all LHs (53 of 1051); 38 (3.6%) were strategic and 15 (1.4%) were reactive conversions. Performing over 20 LHs per year was significantly associated with a lower overall conversion rate (OR
conclusionA higher annual surgical volume of LHs by proven skilled gynecologists is inversely related to the conversion rate to laparotomy, and results in a lower strategic conversion rate.
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