{"paper_id":"d4014b1f-9859-49d3-a13c-5a1d99273158","body_text":"Cirurgia Laparoscópica no Tratamento da Endometriose: Indicações e Resultados Clínicos\nDOI:\nhttps://doi.org/10.36489/nursing.2026v32i341p22779-22790Palavras-chave:\nEndometriose; Laparoscopia; Procedimentos cirúrgicos minimamente invasivos; Resultado do tratamento; RecidivaResumo\nObjetivo: Sintetizar indicações e resultados clínicos da cirurgia laparoscópica na endometriose. Método: Revisão integrativa de 2021 a 2026, com 31 documentos. Resultados: A excisão do endometrioma pode reduzir recidiva e reoperação em relação à ablação (certeza baixa), mas o hormônio antimülleriano caiu após ambas. Na doença intestinal, técnicas conservadoras associaram-se a menos complicações graves. A supressão hormonal pós-operatória associou-se a menor recidiva. A via robótica não superou a convencional. Conclusão: A cirurgia laparoscópica é opção individualizada; a técnica deve equilibrar controle da doença e reserva ovariana.\nReferências\nBall E, Karavadra B, Kremer-Yeatman BJ, Mustard C, Lee KM, Bhogal S, Dodds J, Horne AW, et al. Systematic review of patient-specific pre-operative predictors of pain improvement to endometriosis surgery. Reprod Fertil. 2021;2(1):69-80.\nYong PJ, Allaire C, Bedaiwy M, Bougie O, Kives S, Maheux-Lacroix S, Murji A, Singh SS, et al. Guideline No. 468: Clinical Management of Endometriosis. J Obstet Gynaecol Can. 2026;48(6):103382.\nBurghaus S, Schäfer SD, Bär KJ, Bartley J, Beckmann MW, Behrens A, Beyer K, Bianchi N, et al. Diagnosis and Therapy of Endometriosis. Guideline of the DGGG, OEGGG and SGGG (S2k-Level, AWMF Registry No. 015/045, April 2025). Geburtshilfe Frauenheilkd. 2026;86(2):133-188.\nBrasil. Ministério da Saúde. Portaria Conjunta SAES/SAPS/SCTIE nº 54, de 2 de junho de 2026: aprova o Protocolo Clínico e Diretrizes Terapêuticas da Endometriose. Brasília: Ministério da Saúde; 2026 [citado 2026 out 7]. Disponível em: https://www.gov.br/saude/pt-br/assuntos/pcdt/e/endometriose\nWhittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53.\nBecker CM, Bokor A, Heikinheimo O, Horne A, Jansen F, Kiesel L, King K, Kvaskoff M, et al. ESHRE guideline: endometriosis. Hum Reprod Open. 2022;2022(2):hoac009.\nBurks C, Lee M, DeSarno M, Findley J, Flyckt R. Excision versus Ablation for Management of Minimal to Mild Endometriosis: A Systematic Review and Meta-analysis. J Minim Invasive Gynecol. 2021;28(3):587-597.\nWhitaker LHR, Williams LJ, Stephen J, Daniels JP, Horne AW. ESPriT1: the effectiveness of laparoscopic treatment of isolated superficial peritoneal endometriosis for managing chronic pelvic pain in women: a randomised controlled feasibility trial. Reprod Fertil. 2026;7(2). doi:10.1530/RAF-26-0043\nKalra R, McDonnell R, Stewart F, Hart RJ, Hickey M, Farquhar C. Excisional surgery versus ablative surgery for ovarian endometrioma. Cochrane Database Syst Rev. 2024;11(11):CD004992.\nMurdock C, Sanchez-Ramos L, McKinney JA, Carrubba AR, Lewis G. The Impact of Laparoscopic Cystectomy for Ovarian Endometrioma on Anti-Müllerian Hormone Levels: A Systematic Review and Meta-Analysis. Gynecol Obstet Invest. 2025;90(6):657-671.\nZhang Y, Zhang S, Zhao Z, Wang C, Xu S, Wang F. Impact of cystectomy versus ablation for endometrioma on ovarian reserve: a systematic review and meta-analysis. Fertil Steril. 2022;118(6):1172-1182.\nLiu W, Zhao T, Zheng Z, Huang J, Tan J. Comparison of ovarian reserve after laparoscopic cystectomy in patients with ovarian endometriosis differ in cyst size: A systematic review and meta-analysis. Int J Gynaecol Obstet. 2025;170(1):86-100.\nXie Q, Xie Y, Shi Y, Quan X, Yang X. Impact of haemostasis methods during ovarian cystectomy on ovarian reserve: a pairwise and network meta-analysis. J Obstet Gynaecol. 2024;44(1):2320294.\nMiller KAR, Servidoni ACP, Dos Santos PL, Surmann H, da Silva DBP, Andres MP, Riccio LGC, Abrao MS. Optimal Laparoscopic Surgical Technique for Preserving Fertility and Ovarian Reserve in Patients With Endometrioma: A Systematic Review and Bayesian Network Meta-Analysis of Randomized Controlled Trials. J Minim Invasive Gynecol. 2026;33(7):868-878.\nWu Q, Yang Q, Lin Y, Wu L, Lin T. The optimal time for laparoscopic excision of ovarian endometrioma: a prospective randomized controlled trial. Reprod Biol Endocrinol. 2023;21(1):59.\nJiang D, Zhang X, Shi J, Tao D, Nie X. Risk factors for ovarian endometrioma recurrence following surgical excision: a systematic review and meta-analysis. Arch Gynecol Obstet. 2021;304(3):589-598.\nZakhari A, Delpero E, McKeown S, Tomlinson G, Bougie O, Murji A. 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Rev Bras Ginecol Obstet. 2023;45(11):e729-e744.\nDownloads\nPublicado\nComo Citar\nLicença\nCopyright (c) 2026 Isabela Caldeira Rosolen, Fernanda Reis Guimarães, Maria Tereza Pasquini França da Fonseca, Amanda Hatsue Santana Endo, Elisangela Regina Aldana\nEste trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.","source_license":"CC0","license_restricted":false}