Top

Surgical Endoscopy

Published in:

01-01-2010

Laparoscopic colorectal resection for deep infiltrating endometriosis: analysis of 436 cases

Authors: Giacomo Ruffo, Filippo Scopelliti, Marco Scioscia, Marcello Ceccaroni, Paride Mainardi, Luca Minelli

Published in: Surgical Endoscopy | Issue 1/2010

Abstract

Background

Complete removal of all visible lesions is considered the adequate treatment of pelvic endometriosis in order to reduce recurrence. Laparoscopic colorectal resection of bowel endometriosis is still challenging. A large series is reported.

Methods

A longitudinal evaluation of surgical and clinical complications of 436 cases of severe endometriosis with colorectal resection was carried out. All procedures were performed laparoscopically in a single center and short-term complications were surveyed.

Results

The overall complication rate was 8.3% with need for laparoconversion in 3.2%. Sixty patients required blood transfusion (13.7%), and rectovaginal fistulae were the most frequent postoperative complication (3.2%).

Conclusion

Laparoscopic colorectal resection for endometriosis is a relatively safe procedure in a context of close collaboration between gynecologists and surgeons, although it requires adequate training.

Giudice LC, Kao LC (2004) Endometriosis. Lancet 364:1789–1799CrossRefPubMed

Darai E, Thomassin I, Barranger E, Detchev R, Cortez A, Houry S, Bazot M (2005) Feasibility and clinical outcome of laparoscopic colorectal resection for endometriosis. Am J Obstet Gynecol 192:394–400CrossRefPubMed

Dubernard G, Piketty M, Rouzier R, Houry S, Bazot M, Darai E (2006) Quality of life after laparoscopic colorectal resection for endometriosis. Hum Reprod 21:1243–1247CrossRefPubMed

Fedele L, Bianchi S, Zanconato G, Raffaelli R, Berlanda N (2004) Is rectovaginal endometriosis a progressive disease? Am J Obstet Gynecol 191:1539–1542CrossRefPubMed

Koh CH, Janik GM (2002) The surgical management of deep rectovaginal endometriosis. Curr Opin Obstet Gynecol 14:357–364CrossRefPubMed

Vercellini P, Pietropaolo G, De GO, Pasin R, Chiodini A, Crosignani PG (2005) Treatment of symptomatic rectovaginal endometriosis with an estrogen-progestogen combination versus low-dose norethindrone acetate. Fertil Steril 84:1375–1387CrossRefPubMed

Chapron C, Jacob S, Dubuisson JB, Vieira M, Liaras E, Fauconnier A (2001) Laparoscopically assisted vaginal management of deep endometriosis infiltrating the rectovaginal septum. Acta Obstet Gynecol Scand 80:349–354PubMed

Garry R, Clayton R, Hawe J (2000) The effect of endometriosis and its radical laparoscopic excision on quality of life indicators. BJOG 107:44–54CrossRefPubMed

Mereu L, Ruffo G, Landi S, Barbieri F, Zaccoletti R, Fiaccavento A, Stepniewska A, Pontrelli G, Minelli L (2007) Laparoscopic treatment of deep endometriosis with segmental colorectal resection: short-term morbidity. J Minim Invasive Gynecol 14:463–469CrossRefPubMed

10.

Remorgida V, Ragni N, Ferrero S, Anserini P, Torelli P, Fulcheri E (2005) How complete is full thickness disc resection of bowel endometriotic lesions? A prospective surgical and histological study. Hum Reprod 20:2317–2320CrossRefPubMed

11.

Redwine DB, Sharpe DR (1991) Laparoscopic segmental resection of the sigmoid colon for endometriosis. J Laparoendosc Surg 1:217–220PubMed

12.

Nezhat C, Nezhat F, Pennington E (1992) Laparoscopic treatment of infiltrative rectosigmoid colon and rectovaginal septum endometriosis by the technique of videolaparoscopy and the CO2 laser. Br J Obstet Gynaecol 99:664–667PubMed

13.

Duepree HJ, Senagore AJ, Delaney CP, Marcello PW, Brady KM, Falcone T (2002) Laparoscopic resection of deep pelvic endometriosis with rectosigmoid involvement. J Am Coll Surg 195:754–758CrossRefPubMed

14.

Jerby BL, Kessler H, Falcone T, Milsom JW (1999) Laparoscopic management of colorectal endometriosis. Surg Endosc 13:1125–1128CrossRefPubMed

15.

Possover M, Diebolder H, Plaul K, Schneider A (2000) Laparascopically assisted vaginal resection of rectovaginal endometriosis. Obstet Gynecol 96:304–307CrossRefPubMed

16.

Faccioli N, Manfredi R, Mainardi P, Dalla CE, Spoto E, Minelli L, Mucelli RP (2008) Barium enema evaluation of colonic involvement in endometriosis. AJR Am J Roentgenol 190:1050–1054CrossRefPubMed

17.

Landi S, Barbieri F, Fiaccavento A, Mainardi P, Ruffo G, Selvaggi L, Syed R, Minelli L (2004) Preoperative double-contrast barium enema in patients with suspected intestinal endometriosis. J Am Assoc Gynecol Laparosc 11:223–228CrossRefPubMed

18.

Landi S, Ceccaroni M, Perutelli A, Allodi C, Barbieri F, Fiaccavento A, Ruffo G, McVeigh E, Zanolla L, Minelli L (2006) Laparoscopic nerve-sparing complete excision of deep endometriosis: is it feasible? Hum Reprod 21:774–781CrossRefPubMed

19.

Darai E, Bazot M, Rouzier R, Houry S, Dubernard G (2007) Outcome of laparoscopic colorectal resection for endometriosis. Curr Opin Obstet Gynecol 19:308–313CrossRefPubMed

Title: Laparoscopic colorectal resection for deep infiltrating endometriosis: analysis of 436 cases
Authors: Giacomo Ruffo
Filippo Scopelliti
Marco Scioscia
Marcello Ceccaroni
Paride Mainardi
Luca Minelli
Publication date: 01-01-2010
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 1/2010
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-009-0517-0

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Laparoscopic colorectal resection for deep infiltrating endometriosis: analysis of 436 cases

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2010

Is there a benefit to delaying cholecystectomy for symptomatic gallbladder disease during pregnancy?

Natural orifice translumenal endoscopic surgery (NOTES): creation of a gastric valve for safe and effective transgastric surgery in humans

Measuring mental workload during the performance of advanced laparoscopic tasks

Endoscopically guided thoracoscopic esophagectomy for stricture in a child

Prospective randomized comparison of clinical results between hand-assisted laparoscopic and open splenectomies

Letter in response to: Mazeh H, Greenstein AJ, Swedish K, Nguyen SQ, Lipskar A, Weber KJ, Chin EH, Divino CM (2009) Laparoscopic and open reversal of Hartmann’s procedure—a comparative retrospective analysis (Surg Endosc 23:496–502)