{"paper_id":"b29307af-a07c-48e2-9d5c-d5bd8d369fef","body_text":"Abstract\nBackground\nThis study aimed to assess the interest in robot-assisted laparoscopy for deep infiltrating endometriosis and to investigate the perioperative results.\nMethods\nFrom November 2008 to April 2012, 164 women with stage 4 endometriosis who underwent robot-assisted laparoscopy (da Vinci Intuitive Surgical System) were included by to eight international participating clinical centers. This study evaluated the procedures performed, the duration of the intervention, the complications, the recurrence, and the impact on fertility.\nResults\nThe average operative time was 180 min. The main complications were laparotomy (n = 1, 0.6 %), sutured bowel injury (n = 2, 1.2 %), transfusion for a 2,300-ml bleed (n = 1), prolonged urinary catheterization (n = 1, 0.6 %), ureter-bladder anastomotic leak (n = 1, 0.6 %), and ureteral fistula after ureterolysis (n = 2, 1.2 %). The reoperation rate was 1.8 % (n = 3). The mean follow-up period was 10.2 months. A full recovery was experienced by 86.7 % (98/113) of the patients. After surgery, 41.2 % (42/102) of the patients had a desire for pregnancy, and 28.2 % (11/39) of them became pregnant.\nConclusion\nThis study analyzed the largest series of robot-assisted laparoscopies for deep infiltrating endometriosis published in the literature. No increase in surgical time, blood loss, or intra- or postoperative complications was observed. The interest in robot-assisted laparoscopy for deep infiltrating endometriosis seems to be promising.\nSimilar content being viewed by others\nReferences\nFritel X (2007) Les formes anatomocliniques de l’endométriose. J Gynécol Obstét Biol Reprod 36:113–118\nChapron C, Dubuisson JB, Chopin N, Foulot H, Jacob S, Vieira M et al (2003) Deep pelvic endometriosis: management and proposal for a “surgical classification”. Gynecol Obstet Fertil 31:197–206\nCramer DW, Missmer SA (2002) The epidemiology of endometriosis. 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