Robotic treatment of colorectal endometriosis: technique, feasibility and short-term results

Federico Romano, Alfredo Ercoli, Francesco Fanfani, Anna Fagotti, Giovanni Scambia, Maria Giovanna Salerno, Romano, Dasta, Giànandrea Baldazzi

Risultato della ricerca: Article

45 Citazioni (Scopus)

Abstract

background: Deep infiltrating endometriosis (DIE) is a complex disease that impairs the quality of life and the fertility of women. Since a medical approach is often insufficient, a minimally invasive approach is considered the gold standard for complete disease excision. Roboticassisted surgery is a revolutionary approach, with several advantages compared with traditional laparoscopic surgery. methods: From March 2010 to May 2011, we performed 22 consecutive robotic-assisted complete laparoscopic excisions of DIE endometriosis with colorectal involvement. All clinical data were collected by our team and all patients were interviewed preoperatively and 3 and 6 months post-operatively and yearly thereafter regarding endometriosis-related symptoms. Dysmenorrhoea, dyschezia, dyspareunia and dysuria were evaluated with a 10-point analog rating scale. results: There were 12 patients, with a median larger endometriotic nodule of 35 mm, who underwent segmental resection, and 10 patients, with a median larger endometriotic nodule of 30 mm, who underwent complete nodule debulking by colorectal wall-shaving technique. No laparotomic conversions were performed, nor was any blood transfusion necessary. No intra-operative complications were observed and, in particular, there were no inadvertent rectal perforations in any of the cases treated by the shaving technique. None of the patients had ileostomy or colostomy. No major post-operative complications were observed, except one small bowel occlusion 14 days post-surgery that was resolved in 3 days with medical treatment. Post-operatively, a statistically significant improvement of patient symptoms was shown for all the investigated parameters. conclusions: To our knowledge, this is the first study reporting the feasibility and short-term results and complications of laparoscopic robotic-assisted treatment of DIE with colorectal involvement.We demonstrate that this approach is feasible and safe, without conversion to laparotomy.
Lingua originaleEnglish
pagine (da-a)722-726
Numero di pagine5
RivistaHuman Reproduction
Volume27
Stato di pubblicazionePublished - 2012

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Robotics
Endometriosis
Dyspareunia
Dysmenorrhea
Ileostomy
Colostomy
Feasibility Studies
Constipation
Therapeutics
Blood Transfusion
Laparoscopy
Fertility
Quality of Life

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cita questo

Romano, F., Ercoli, A., Fanfani, F., Fagotti, A., Scambia, G., Salerno, M. G., ... Baldazzi, G. (2012). Robotic treatment of colorectal endometriosis: technique, feasibility and short-term results. Human Reproduction, 27, 722-726.

Robotic treatment of colorectal endometriosis: technique, feasibility and short-term results. / Romano, Federico; Ercoli, Alfredo; Fanfani, Francesco; Fagotti, Anna; Scambia, Giovanni; Salerno, Maria Giovanna; Romano; Dasta; Baldazzi, Giànandrea.

In: Human Reproduction, Vol. 27, 2012, pag. 722-726.

Risultato della ricerca: Article

Romano, F, Ercoli, A, Fanfani, F, Fagotti, A, Scambia, G, Salerno, MG, Romano, Dasta & Baldazzi, G 2012, 'Robotic treatment of colorectal endometriosis: technique, feasibility and short-term results', Human Reproduction, vol. 27, pagg. 722-726.
Romano F, Ercoli A, Fanfani F, Fagotti A, Scambia G, Salerno MG e altri. Robotic treatment of colorectal endometriosis: technique, feasibility and short-term results. Human Reproduction. 2012;27:722-726.
Romano, Federico ; Ercoli, Alfredo ; Fanfani, Francesco ; Fagotti, Anna ; Scambia, Giovanni ; Salerno, Maria Giovanna ; Romano ; Dasta ; Baldazzi, Giànandrea. / Robotic treatment of colorectal endometriosis: technique, feasibility and short-term results. In: Human Reproduction. 2012 ; Vol. 27. pagg. 722-726.
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abstract = "background: Deep infiltrating endometriosis (DIE) is a complex disease that impairs the quality of life and the fertility of women. Since a medical approach is often insufficient, a minimally invasive approach is considered the gold standard for complete disease excision. Roboticassisted surgery is a revolutionary approach, with several advantages compared with traditional laparoscopic surgery. methods: From March 2010 to May 2011, we performed 22 consecutive robotic-assisted complete laparoscopic excisions of DIE endometriosis with colorectal involvement. All clinical data were collected by our team and all patients were interviewed preoperatively and 3 and 6 months post-operatively and yearly thereafter regarding endometriosis-related symptoms. Dysmenorrhoea, dyschezia, dyspareunia and dysuria were evaluated with a 10-point analog rating scale. results: There were 12 patients, with a median larger endometriotic nodule of 35 mm, who underwent segmental resection, and 10 patients, with a median larger endometriotic nodule of 30 mm, who underwent complete nodule debulking by colorectal wall-shaving technique. No laparotomic conversions were performed, nor was any blood transfusion necessary. No intra-operative complications were observed and, in particular, there were no inadvertent rectal perforations in any of the cases treated by the shaving technique. None of the patients had ileostomy or colostomy. No major post-operative complications were observed, except one small bowel occlusion 14 days post-surgery that was resolved in 3 days with medical treatment. Post-operatively, a statistically significant improvement of patient symptoms was shown for all the investigated parameters. conclusions: To our knowledge, this is the first study reporting the feasibility and short-term results and complications of laparoscopic robotic-assisted treatment of DIE with colorectal involvement.We demonstrate that this approach is feasible and safe, without conversion to laparotomy.",
author = "Federico Romano and Alfredo Ercoli and Francesco Fanfani and Anna Fagotti and Giovanni Scambia and Salerno, {Maria Giovanna} and Romano and Dasta and Gi{\`a}nandrea Baldazzi",
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T1 - Robotic treatment of colorectal endometriosis: technique, feasibility and short-term results

AU - Romano, Federico

AU - Ercoli, Alfredo

AU - Fanfani, Francesco

AU - Fagotti, Anna

AU - Scambia, Giovanni

AU - Salerno, Maria Giovanna

AU - Romano, null

AU - Dasta, null

AU - Baldazzi, Giànandrea

PY - 2012

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N2 - background: Deep infiltrating endometriosis (DIE) is a complex disease that impairs the quality of life and the fertility of women. Since a medical approach is often insufficient, a minimally invasive approach is considered the gold standard for complete disease excision. Roboticassisted surgery is a revolutionary approach, with several advantages compared with traditional laparoscopic surgery. methods: From March 2010 to May 2011, we performed 22 consecutive robotic-assisted complete laparoscopic excisions of DIE endometriosis with colorectal involvement. All clinical data were collected by our team and all patients were interviewed preoperatively and 3 and 6 months post-operatively and yearly thereafter regarding endometriosis-related symptoms. Dysmenorrhoea, dyschezia, dyspareunia and dysuria were evaluated with a 10-point analog rating scale. results: There were 12 patients, with a median larger endometriotic nodule of 35 mm, who underwent segmental resection, and 10 patients, with a median larger endometriotic nodule of 30 mm, who underwent complete nodule debulking by colorectal wall-shaving technique. No laparotomic conversions were performed, nor was any blood transfusion necessary. No intra-operative complications were observed and, in particular, there were no inadvertent rectal perforations in any of the cases treated by the shaving technique. None of the patients had ileostomy or colostomy. No major post-operative complications were observed, except one small bowel occlusion 14 days post-surgery that was resolved in 3 days with medical treatment. Post-operatively, a statistically significant improvement of patient symptoms was shown for all the investigated parameters. conclusions: To our knowledge, this is the first study reporting the feasibility and short-term results and complications of laparoscopic robotic-assisted treatment of DIE with colorectal involvement.We demonstrate that this approach is feasible and safe, without conversion to laparotomy.

AB - background: Deep infiltrating endometriosis (DIE) is a complex disease that impairs the quality of life and the fertility of women. Since a medical approach is often insufficient, a minimally invasive approach is considered the gold standard for complete disease excision. Roboticassisted surgery is a revolutionary approach, with several advantages compared with traditional laparoscopic surgery. methods: From March 2010 to May 2011, we performed 22 consecutive robotic-assisted complete laparoscopic excisions of DIE endometriosis with colorectal involvement. All clinical data were collected by our team and all patients were interviewed preoperatively and 3 and 6 months post-operatively and yearly thereafter regarding endometriosis-related symptoms. Dysmenorrhoea, dyschezia, dyspareunia and dysuria were evaluated with a 10-point analog rating scale. results: There were 12 patients, with a median larger endometriotic nodule of 35 mm, who underwent segmental resection, and 10 patients, with a median larger endometriotic nodule of 30 mm, who underwent complete nodule debulking by colorectal wall-shaving technique. No laparotomic conversions were performed, nor was any blood transfusion necessary. No intra-operative complications were observed and, in particular, there were no inadvertent rectal perforations in any of the cases treated by the shaving technique. None of the patients had ileostomy or colostomy. No major post-operative complications were observed, except one small bowel occlusion 14 days post-surgery that was resolved in 3 days with medical treatment. Post-operatively, a statistically significant improvement of patient symptoms was shown for all the investigated parameters. conclusions: To our knowledge, this is the first study reporting the feasibility and short-term results and complications of laparoscopic robotic-assisted treatment of DIE with colorectal involvement.We demonstrate that this approach is feasible and safe, without conversion to laparotomy.

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JO - Human Reproduction

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