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Table 3 Patient’s characteristics and surgical procedures before and after ERP implementation

From: Enhanced recovery after surgery program in Gynaecologic Oncological surgery in a minimally invasive techniques expert center

 

Before ERP(n = 100)

After ERP(n = 100)

p-value

Age (years)

 Mean (+/− SD)

59,01 (+/− 12,35)

59,37 (+/− 13,13)

NS

 Median (Min/Max)

60 (16 / 87)

60 (27 / 91)

 

ASA score:

   

 ASA 1 (%)

21

24

NS

 ASA 2 (%)

69

65

 

 ASA 3 (%)

10

11

 

BMI (kg/m2)

 Mean (+/− SD)

24,2 (+/− 4,98)

27,3 (+/− 7,89)

0.001

 Median (Min/Max)

23 (16 / 41)

25 (18 / 63)

 

Oncological indications (%)

 Endometrial cancer*

22

42

0.003*

 Cervical cancer

42

39

 

 Ovarian cancer

22

14

 

 Other (Border line ovarian tumor, endometrial hyperplasia, CIN)

14

5

 

Surgical approaches

 Conventional lap / Robotic assisted lap

88

87

NS

 Open

12

13

 

Conversion to open

2

2

 

Surgical procedures

  

NS

Total Hysterectomy**

43

48

 

Total Hysterectomy** with pelvic lymphadenectomy

11

16

NS

Total Hysterectomy** with pelvic and aortic lymphadenectomy

9

9

 

Isolated Lymphadenectomy:

37

27

 

 Pelvic lymphadenectomy

12

4

 

 Para-aortic lymphadenectomy

21

18

 

 Both

4

5

 
  1. Abbreviations: BMI body mass index, SD standard deviation, CIN Cervical Intraepithelial Neoplasia
  2. *significative difference in oncological indications in relation with the rate of endometrial cancer, higher in the group after ERP
  3. **total hysterectomy was always associated with bilateral oophorectomy