Audit on Endometrial Cancer Hysterectomies against GIRFT and BADS Standards

Background: Hysterectomy is a common gynaecological procedure, with evolving practice favouring minimal access routes to improve patient outcomes. GIRFT recommends that no more than 25% of hysterectomies be performed as open procedures, with at least 50% of minimal access hysterectomies completed as day cases.Objective: To audit endometrial cancer hysterectomies performed at York site against GIRFT and BADS standards.Methods: A retrospective audit of 60 patients undergoing hysterectomy between January–December 2023 was conducted. Inclusion criteria: elective total laparoscopic hysterectomy (TLH) for endometrial cancer (n=27). Parameters included age, BMI, histology, cancer stage, planned and actual route of hysterectomy, blood loss, uterine size, conversion to open, and readmissions.Results: All patients were planned for TLH. Conversion to total abdominal hysterectomy (TAH) occurred in 14%. Median age was 60 years (range 30–86). Most procedures were completed laparoscopically, with day-case rates below GIRFT/BADS targets.Conclusion: While the majority of procedures were performed laparoscopically, conversion rates and day-case completion fell short of GIRFT and BADS standards. Recommendations include structured patient pathways, morning listing, SOP-driven recovery and discharge, MDT involvement, and patient preparation strategies to optimise outcomes.