Perspectives of Gynecologic Oncologists on Minimally Invasive Surgery During COVID-19 Pandemic: A Turkish Society of Minimally Invasive Gynecologic Oncology (MIJOD) Survey.



Dogan, Nasuh Utku, Bilir, Esra, Taskin, Salih, Vatansever, Dogan, Dogan, Selen, Taskiran, Cagatay, Celik, Husnü, Ortac, Firat and Gungor, Mete
(2022) Perspectives of Gynecologic Oncologists on Minimally Invasive Surgery During COVID-19 Pandemic: A Turkish Society of Minimally Invasive Gynecologic Oncology (MIJOD) Survey. Asian Pacific journal of cancer prevention : APJCP, 23 (2). 573 - 581.

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Abstract

<h4>Background</h4>To evaluate gynecologic oncologists' trends and attitudes towards the use of Minimally invasive surgery (MIS) in active period of the COVID-19 pandemic in Turkey.<h4>Methods</h4>Online national survey sent to members of Turkish Endoscopy Platform consisting of six sections and 45 questions between the dates 1-15 June 2020 in Turkey to explore their surgical practice during the pandemic in three hospital types: Education and research hospital/university hospital, state hospital and private Hospital. Participants were gynecologic oncologists who are members of Turkish Endoscopy Platform.<h4>Results</h4>Fifty-eight percent of participants canceled all operations except for cancer surgeries and emergent operations. About a quarter of participants (28%) continued to operate laparoscopically and/or robotically. For the evaluation of the suspected adnexial mass (SAM) 64% used laparotomy and only 13 % operated by laparoscopy (L/S). For the management of low-risk early-stage endometrial cancer only fifth of the participants preferred to perform L/S. For endometrial cancer with high-intermediate risk factors more than half of participants preferred complete staging with laparotomy. For advanced stage ovarian cancer, one-fifth of the participants preferred to perform an explorative laparotomy, whilst 15 % preferred diagnostic laparoscopy to triage the patients for either NACT or cytoreductive surgery. On the contrary 41 % of participants chose to have cytology by paracentesis for neo-adjuvant chemotherapy (NACT). Gynecologic oncologists with >10 years L/S experience used MIS more for SAM. Furthermore, experienced surgeons used L/S more for endometrial cancer patients. In busy COVID hospitals, more participants preferred laparotomy over L/S.<h4>Conclusion</h4>Use of MIS decreased during the pandemic in Turkey. More experienced surgeons continued to perform MIS. Surgical treatment was the preferred approach for SAM, early-stage endometrial cancer.  However, NACT was more popular compared to radical surgery.

Item Type: Article
Uncontrolled Keywords: Humans, Genital Neoplasms, Female, Laparoscopy, Laparotomy, Gynecologic Surgical Procedures, Attitude of Health Personnel, Gynecology, Adult, Aged, Middle Aged, Societies, Medical, Turkey, Female, Male, Minimally Invasive Surgical Procedures, Robotic Surgical Procedures, Surveys and Questionnaires, Practice Patterns, Physicians', Surgical Oncology, COVID-19, SARS-CoV-2
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User: Symplectic Admin
Date Deposited: 17 May 2022 12:31
Last Modified: 16 Sep 2022 12:59
DOI: 10.31557/apjcp.2022.23.2.573
Open Access URL: http://journal.waocp.org/article_89982.html
URI: https://livrepository.liverpool.ac.uk/id/eprint/3154979