Recent national trends in pelvic and paraaortic lymphadenectomy in gynecologic oncology fellowship training programs: ACGME data from 2019–2025

Purpose: To investigate trends in surgical experience performing pelvic and paraaortic lymphadenectomies by gynecologic oncology (GO) fellows in the U.S. Methods: Summary statistics for ACGME GO training programs were obtained from the ACGME public reporting system. The ACGME data only contains this short time frame. For each academic year spanning 2019-2020 through 2024-2025, the national mean procedure count was extracted for pelvic and paraaortic lymphadenectomies. Results: -aortic and SLN increased from 63 to 96. Conclusions: Gynecologic oncology training experience in performing both pelvic and paraaortic lymphadenectomy has declined. The decline may have implications that extend to training in radical pelvic surgery.

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Publication Details

Journal
Gynecologic Oncology Reports
Published
2026-04-21
DOI
https://doi.org/10.1016/j.gore.2026.102088
Primary Topic
Endometrial and Cervical Cancer Treatments
Type
article
Field-Weighted Citation Impact
0.00

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article

Recent national trends in pelvic and paraaortic lymphadenectomy in gynecologic oncology fellowship training programs: ACGME data from 2019–2025

Mitchel S. Hoffman, Wenyi Fan, Dennis Chi, William Cliby et al.
Gynecologic Oncology Reports
Endometrial and Cervical Cancer Treatments
article

Recent national trends in pelvic and paraaortic lymphadenectomy in gynecologic oncology fellowship training programs: ACGME data from 2019–2025

Mitchel S. Hoffman, Wenyi Fan, Dennis Chi, William Cliby, Daniel Clarke-Pearson, Karen H Lu
article en

Abstract

Purpose: To investigate trends in surgical experience performing pelvic and paraaortic lymphadenectomies by gynecologic oncology (GO) fellows in the U.S. Methods: Summary statistics for ACGME GO training programs were obtained from the ACGME public reporting system. The ACGME data only contains this short time frame. For each academic year spanning 2019-2020 through 2024-2025, the national mean procedure count was extracted for pelvic and paraaortic lymphadenectomies. Results: -aortic and SLN increased from 63 to 96. Conclusions: Gynecologic oncology training experience in performing both pelvic and paraaortic lymphadenectomy has declined. The decline may have implications that extend to training in radical pelvic surgery.

Gynecologic Oncology ReportsVol. 65
University of North Carolina at Chapel Hill (US), Mayo Clinic (US), Memorial Sloan Kettering Cancer Center (US), Cornell University (US), Moffitt Cancer Center (US), University of North Carolina Hospitals (US), Mayo Clinic in Florida (US), Institute of Bioinformatics (IN)
Moffitt Cancer Center, National Cancer Institute
Openalex Percentile: Top 17%
Endometrial and Cervical Cancer Treatments
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Recent national trends in pelvic and paraaortic lymphadenectomy in gynecologic oncology fellowship training programs: ACGME data from 2019–2025 — Mitchel S. Hoffman, Wenyi Fan, et al. · Gynecologic Oncology Reports (2026) | TGRS Research Map | TGRS