title: [Laparoscopy for surgical treatment for uterine and ovarian cancer in France: a national practice survey].
abstract: OBJECTIVE
  The aim of this study was to describe the use of laparoscopy in gynecologic malignancies (cervical, endometrial and ovarian cancer, borderline included) in France during year 2005.
  
  
  METHODS
  We have carried out a retrospective national practice survey during 12 months. Each university hospital (45 centers) and each cancer center (20 centers) received a questionnaire to evaluate their practice in laparoscopy. Centers performing less than ten cases per year in this indication were excluded.
  
  
  RESULTS
  Among 65 centers, 31 answered and 19 were included. A total of 1397 surgical procedures for gynaecologic cancer was analysed. Laparoscopy was performed in 714 cases. In these cases, 51.1% (675 cases) of patients were treated by laparoscopy in France during year 2005. Seventy-four surgical procedures for cancer were performed each year per center and among them 38 by laparoscopy. The average cases number is 9.4 per surgeon.
  
  
  CONCLUSIONS
  We found that 51.1% of cases of gynaecologic cancer surgery were performed by laparoscopy in France during 2005, representing 38 cases per centers and 9.4 per surgeon per year. This suggests that access to training for surgeons and care for patients is difficult.
authors: Service de gynécologie-obstétrique, CHU d'Angers, 4 rue Larrey, Angers, France. le.roux.clement@free.fr
authors: C
authors: C
authors: Le Roux
authors: L
authors: L
authors: Sentilhes
authors: L
authors: L
authors: Catala
authors: C
authors: C
authors: Lefebvre-Lacoeuille
authors: M
authors: M
authors: Poilblanc
authors: P
authors: P
authors: Descamps
mesh_terms: D016889:Endometrial Neoplasms / Q000601:surgery; D005260:Female; D005602:France; D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data*; D008197:Lymph Node Excision; D009361:Neoplasm Invasiveness; D010051:Ovarian Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery*