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. 2018 Jul-Sep;22(3):e2018.00004.
doi: 10.4293/JSLS.2018.00004.

Trends of Opportunistic Salpingectomy

Dah-Ching Ding  1 , Ci Huang  1 , Tang-Yuan Chu  1 , Yu-Chi Wei  1 , Pao-Chu Chen  1 , Mun-Kun Hong  1
Affiliations

Trends of Opportunistic Salpingectomy

Dah-Ching Ding et al. JSLS. 2018 Jul-Sep.

Abstract

Background and objectives: This study analyzed the trends of opportunistic salpingectomy (OS) accompanied by hysterectomy in a 9-year follow-up period at a single institute.

Methods: This retrospective cohort study included 1184 women at Hualien Tzu Chi Hospital from 2007 to 2015 who underwent hysterectomy performed with or without OS. Parameters including patient age, operating time, surgical approach, length of hospital stay, and perioperative complications were evaluated.

Results: There was an increase in the number of hysterectomies with OS (from 8% to 80%; P < .001) over the study period. Minimal additional operating time was necessary for hysterectomy with OS (3.7 and 3.6 minutes in open and laparoscopic surgery, respectively). No significant differences were observed in the risks of hospital readmission or blood transfusions between women who underwent hysterectomy with OS performed with the open approach and those who underwent the procedure using the laparoscopic approach. From 2007 to 2015, the proportion of open hysterectomies decreased from 56% to 6%.

Conclusion: The results of this 9-year follow-up study revealed that, as a cancer prevention method, OS seems to be feasible and safe, requires minimal extra time, and does not increase the morbidity or long-term sequelae.

Keywords: Hysterectomy; Laparoscopy; Open surgery; Opportunistic salpingectomy; Ovarian cancer.

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Conflict of interest statement

Conflicts of Interest: All authors declare no conflict of interest regarding the publication of this article.

Figures

Figure 1.
Figure 1.
Salpingectomy procedure. A, C, The tubes are removed through coagulation and resection from the distal fimbrial end to the uterine cornu. B, D, The mesosalpinx is spared. The tube can be left on the uterine body or resected before hysterectomy. The salpingectomies in the photographs were performed through single-port laparoscopy.
Figure 2.
Figure 2.
Number and percentage of hysterectomies and salpingectomies performed from 2007 to 2015.
Figure 3.
Figure 3.
Number and percentage of each surgical method TAH, conventional laparoscopy, and LESS performed from 2007 to 2015.
See this image and copyright information in PMC

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