Objective: To elucidate the current practice of laparoscopic surgery in endometrial cancer obtained from the Thai Gynecologic Cancer Society (TGCS) Survey.

Materials and Methods: The present study was a part of the national practice survey by the Thai Gynecologic cancer Society on the management of gynecologic cancer. All Thai Gynecologic Oncologists were invited to respond to the web-based online survey which was opened from August to October, 2019. Data regarding the practice of laparoscopic surgery in endometrial cancer were abstracted and analyzed.

Results: Of 170 respondents, 60 (35.3%) reported performing laparoscopic surgery for endometrial cancer. Nine (15.0%) performed laparoscopic surgery in all patients whereas the remaining applied some criteria for patient selection. Significantly higher percentages of respondents who worked in training hospitals or who had worked for >5 years performed laparoscopic surgery compared to the respondents from a non-training hospital or had shorter practice duration: 44.2% versus 26.2% (p = 0.014) for the hospital setting and 45.5% versus 21.1% (p = 0.001) for the duration of practice, respectively. The financial issue was the most common barrier for laparoscopic surgery reported in this survey (81.7%).

Conclusion: Only one-third of the Thai gynecologic oncologists performed laparoscopic surgery in treatment for endometrial cancer patients. The procedure was performed more frequently among the respondents working in a training hospital or who had a longer duration of work.

Keywords: Uterine neoplasm, Laparoscopy, Minimally invasive surgery, Practice, Survey