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Published on: September 12, 2019
Recent national trends in pelvic and paraaortic lymphadenectomy in gynecologic oncology fellowship training programs:
Mitchel Hoffman1, Daniel Clarke-Pearson2, Dennis Chi3
1Moffitt Cancer Center and USF Morsani College of Medicine, Department of Gynecologic Oncology, 12902 Magnolia Drive: MCC GYN Program, Tampa, FL 33612, USA.
Purpose:
To investigate trends in surgical experience performing pelvic and paraaortic lymphadenectomies by gynecologic oncology (GO) fellows in the U.S.
Methods:
Summary statistics for ACGME GO training programs were obtained from the ACGME public reporting system. The ACGME data only contains this short time frame. For each academic year spanning 2019-2020 through 2024-2025, the national mean procedure count was extracted for pelvic and paraaortic lymphadenectomies.
Results:
Over the past 5 years there has been a significant decline in the number of pelvic (p = 0.0004) and paraaortic (p = 0.002) lymphadenectomies being performed by GO fellows in the U.S. During this same time there was a progressive significant upward trend in the number of SNL performed (p = 0.003). The mean procedure count declined from 61 to 38 on pelvic and 36 to 18 on para-aortic and SLN increased from 63 to 96.
Conclusions:
Gynecologic oncology training experience in performing both pelvic and paraaortic lymphadenectomy has declined. The decline may have implications that extend to training in radical pelvic surgery.
