Robotic treatment of colorectalendometriosis: technique, feasibilityand short-term results

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

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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. Sincea medical approach is often insufficient, a minimally invasive approach is considered the gold standard for complete disease excision. Roboticassistedsurgery 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 endometriosiswith colorectal involvement. All clinical data were collected by our team and all patients were interviewed preoperatively and 3 and6 months post-operatively and yearly thereafter regarding endometriosis-related symptoms. Dysmenorrhoea, dyschezia, dyspareunia anddysuria 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 10patients, 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 wereobserved and, in particular, there were no inadvertent rectal perforations in any of the cases treated by the shaving technique. None ofthe patients had ileostomy or colostomy. No major post-operative complications were observed, except one small bowel occlusion 14days post-surgery that was resolved in 3 days with medical treatment. Post-operatively, a statistically significant improvement of patient symptomswas 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 laparoscopicrobotic-assisted treatment of DIE with colorectal involvement.We demonstrate that this approach is feasible and safe, without conversion tolaparotomy.
Lingua originaleEnglish
pagine (da-a)722-726
Numero di pagine5
RivistaHuman Reproduction
Volume27
Stato di pubblicazionePublished - 2012

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All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cita questo

Romano, F., Salerno, M. G., Dasta, Baldazzi, G., Romano, F., Ercoli, A., Fanfani, F., Fagotti, A., & Scambia, G. (2012). Robotic treatment of colorectalendometriosis: technique, feasibilityand short-term results. Human Reproduction, 27, 722-726.