{"paper_id":"0f96ce85-0773-41a5-b9fd-8f6708600366","body_text":"Abstract\nBackground\nIleocecal endometriosis is a very rare entity, and its diagnosis is usually made during surgery for other endometriosis sites or, rarely, because of direct complications of ileal involvement. This study was designed to analyze perioperative and long-term outcomes after bowel resection for ileocecal endometriosis.\nMethods\nAll patients who underwent surgery for ileocecal endometriosis between October 2004 and January 2008 were prospectively collected and analyzed.\nResults\nThirty-one women (median age, 34 (range, 25–40) years) were identified. Ileocecal endometriosis was diagnosed during surgery in all patients, and it was associated with colorectal endometriosis in 29 patients (94%). All patients underwent laparoscopic ileocecal resection with no laparotomic conversion. Rectosigmoid or rectal resections was associated in 28 patients (90%) and nodulectomy for sigmoid endometriosis in 1 patient. Median duration of surgery was 301 (range, 90–480) min. Other associated surgical procedures included total hysterectomy (n = 3, 14%), ureterolysis (n = 7, 23%), excision of vesical (n = 4, 13%), vaginal (n = 8, 26%), and parametrial (n = 3, 14%) nodules. There was no mortality. Four patients (13%) required blood transfusions and one a reoperation for bleeding. In a patient who performed ureterolysis, a ureteral fistula occurred. The median hospital stay was 7 (range, 5–18) days. Long-term (>12 months) follow-up data were available for 18 patients. After a median follow-up of 27 months, in 12 of 18 patients (67%) defecation after surgery was normal. Only one patient developed recurrence, which is under medical treatment.\nConclusions\nLaparoscopic ileocecal resection is safe and feasible and should be considered as part of surgery for endometriosis with radical intent.\nSimilar content being viewed by others\nReferences\nKoninckx PR, Meuleman C, Demeyere S, Lesaffre E, Cornillie FJ (1991) Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril 55:759–765\nBallweg ML (2004) Impact of endometriosis on women’s health: comparative historical data show that the earlier the onset, the more severe the disease. Best Pract Res Clin Obstet Gynaecol 18:201–218\nCornillie FJ, Oosterlynck D, Lauweryns JM, Koninckx PR (1990) Deeply infiltrating pelvic endometriosis: histology and clinical significance. 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J Minim Invasive Gynecol 15:764–766\nDisclosures\nGiacomo Ruffo, Ania Stepniewska, Stefano Crippa, Giacomo Serboli, Claudio Zardini, Martin Steinkasserer, Marcello Ceccaroni, Luca Minelli, and Massimo Falconi have no conflicts of interest or financial ties to disclose.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nRuffo, G., Stepniewska, A., Crippa, S. et al. Laparoscopic ileocecal resection for bowel endometriosis. Surg Endosc 25, 1257–1262 (2011). https://doi.org/10.1007/s00464-010-1354-x\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00464-010-1354-x","source_license":"CC0","license_restricted":false}