To comprehensively assess and compare clinical outcomes across electrosurgical modalities in gynecologic cancer surgery, highlighting their importance in improving surgical outcomes.
Key Findings:
359 publications reviewed; 10 met inclusion criteria, plus 1 additional publication found during reference review.
Most studies focused on cervical cancer (36.4%) and both cervical and endometrial cancer (27.3%).
Advanced electrosurgical devices were evaluated in 82% of studies.
LigaSure was the most commonly used advanced device.
Interpretation:
Advanced electrosurgical devices generally show better perioperative outcomes, but effectiveness varies by cancer type and surgical procedure, with implications for clinical practice.
Limitations:
Heterogeneous study designs and outcomes limit the generalizability of findings.
Limited number of studies specifically comparing electrosurgical devices in oncological settings may affect the robustness of conclusions.
Conclusion:
Further well-designed studies with standardized outcome measures are needed to better assess the effectiveness of electrosurgical instruments in gynecologic cancer surgery, particularly in specific cancer types.
Boston magazine has named more than 145 physicians affiliated with Dana-Farber Cancer Institute to its annual "Top Doctors" guide. Drawing from a Castle Connolly Medical Ltd. physician database, the Boston magazine Top Doctors™ list draws from hundreds of Boston-area physicians in many medical specialties
