Minimally invasive surgery for deep-infiltrating endometriosis and its impact on fertility: can robotic surgery play a role?

Desirée Gianardi, Andrea Giannini
Journal of robotic surgery · 2019 · doi:10.1007/s11701-019-00981-8 · PMID:31161449
other OA: closed public-domain-us
Full text JSON View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This review discusses minimally invasive surgery for deep-infiltrating endometriosis and its impact on fertility, exploring the potential role of robotic surgery in this context.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper is a short commentary discussing minimally invasive surgical management of deep-infiltrating endometriosis and focusing on whether robotic surgery may have a role in relation to fertility outcomes. It frames the topic by drawing on prior evidence comparing laparoscopy and robotic approaches and on data suggesting that extensive excision of deep infiltrative endometriosis before in vitro fertilization can improve pregnancy rates, while noting the uncertainty that comes from relying on heterogeneous studies and short- to mid-term outcomes reported elsewhere. It also references the randomized, multicenter LAROSE trial and summarizes broader considerations around radical surgery for deep disease with colorectal involvement. This paper is centrally about endometriosis — it discusses minimally invasive/robotic surgery for deep-infiltrating endometriosis and its impact on fertility.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Full text 2,250 characters · extracted from oa-doi-fallback · 2 sections · click to expand

References

Roman H (2018) Endometriosis surgery and preservation of fertility, what surgeons should know. J Visc Surg 155(Suppl 1):S31–S36. https://doi.org/10.1016/j.jviscsurg.2018.03.002 Bianchi PH, Pereira RM, Zanatta A, Alegretti JR, Motta EL, Serafini PC (2009) Extensive excision of deep infiltrative endometriosis before in vitro fertilization significantly improves pregnancy rates. J Minim Invasive Gynecol 16:174–180 Siesto G, Ieda N, Rosati R, Vitobello D (2014) Robotic surgery for deep endometriosis: a paradigm shift. Int J Med Robot 10(2):140–146 Morelli L, Perutelli A, Palmeri M, Guadagni S, Mariniello MD, Di Franco G, Cela V, Brundu B, Salerno MG, Di Candio G, Mosca F (2016) Robot-assisted surgery for the radical treatment of deep infiltrating endometriosis with colorectal involvement: short- and mid-term surgical and functional outcomes. Int J Colorectal Dis 31:643–652. https://doi.org/10.1007/s00384-015-2477-2 Soto E, Luu TH, Liu X, Magrina JF, Wasson MN, Einarsson JI, Cohen SL, Falcone T (2017) Laparoscopy vs. robotic surgery for endometriosis (LAROSE): a multicenter, randomized, controlled trial. Fertil Steril 107(4):996–1002.e3. https://doi.org/10.1016/j.fertnstert.2016.12.033

Acknowledgements

No funding supported this study. Author information Authors and Affiliations Corresponding author Ethics declarations Conflict of interest Dr Desirée Gianardi and Dr Andrea Giannini declare that they have no conflict of interest. Statement of human rights and welfare of animals This article does not contain any studies with human participants or animals performed by any of the authors. Informed consent For this type of study informed consent is not required. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rights and permissions About this article Cite this article Gianardi, D., Giannini, A. Minimally invasive surgery for deep-infiltrating endometriosis and its impact on fertility: can robotic surgery play a role?. J Robotic Surg 13, 789–790 (2019). https://doi.org/10.1007/s11701-019-00981-8 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s11701-019-00981-8

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

MeSH descriptors

Colorectal Neoplasms Endometriosis Robotics Robotic Surgical Procedures Female Fertility Humans Minimally Invasive Surgical Procedures

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

Source provenance

europepmc
last seen: 2026-08-12T06:07:16.479679+00:00
pubmed
last seen: 2026-05-13T22:22:48.502547+00:00
unpaywall
last seen: 2026-08-12T06:43:03.944938+00:00
License: public-domain-us · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine