Asymptomatic rectal and bladder endometriosis: a case for robotic-assisted surgery.
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Robot-assisted laparoscopic partial cystectomy and rectal nodule excision for endometriosis was performed successfully in a patient with no genitourinary symptoms and an uneventful postoperative course.
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Abstract
OBJECTIVES: To evaluate the feasibility and safety of robot-assisted laparoscopic partial cystectomy for the treatment of rectal and bladder endometriosis. MATERIALS AND METHODS: A 23 year-old female with history of infertility and pelvic pain was found to have a 4 cm bladder mass and rectal nodule on pelvic ultrasonography. Patient denied any other genitourinary symptoms. Cystoscopy and bladder mass biopsy revealed endometriosis. After failure to suppressive hormonal medical therapy a partial cystectomy and resection of a rectal lesion was performed with robotic assistance (da Vinci). The procedure included excision of an ovarian cyst and several peritoneal endometrioid implants. RESULTS: Robotic-assisted (da Vinci) partial cystectomy with concomitant excision of endometrial nodules from the rectum and ovarian cyst was performed in 185 min. The rectal lesion was excised and primary closure of the rectum was performed. Patient had an uneventful postoperative course and hospital stay. Oral intake was started on postoperative day 1 and follow-up imaging revealed no bladder extravasation or fistula formation. The patient became pregnant 2 years later with "in vitro" fertilization procedure. CONCLUSIONS: Robotic-assisted laparoscopic partial cystectomy with excision of rectal nodules for endometriosis can be safely performed.
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Cited by (26)
- Robotic Surgery for Bladder Endometriosis: A Systematic Review and Approach 2023
- Comparison of robotic versus conventional laparoscopy for the treatment of colorectal endometriosis: Pilot study of an expert center 2020
- Robotic Treatment of Bowel Endometriosis 2020
- Pregnancy following robot-assisted laparoscopic partial cystectomy and gonadotropin-releasing hormone agonist treatment within three months in an infertile woman with bladder endometriosis 2018
- Localisations urinaires de l’endométriose. Résultats et modalités techniques de la prise en charge chirurgicale. RPC Endométriose CNGOF-HAS 2018
- Laparoscopy vs. Robotic Surgery for Endometriosis (LAROSE): a multicenter, randomized, controlled trial 2017
- Robotics and Reproductive Surgery 2017
- Robotic Assisted Surgery for Endometriosis—“Is the Way Forward?” 2016
- Étude comparative : laparoscopie robot assistée versus cœlioscopie chez les patientes avec une endométriose vésicale 2016
- Surgical Excision of Advanced Endometriosis: Perioperative Outcomes and Impacting Factors 2015
- Robot-assisted laparoscopy for infertility treatment: current views 2014
- Robot-assisted laparoscopy for deep infiltrating endometriosis: international multicentric retrospective study 2014
- Perioperative Outcomes of Robotic Assisted Laparoscopic Surgery Versus Conventional Laparoscopy Surgery for Advanced-Stage Endometriosis 2014
- Robot-assisted partial cystectomy for bladder endometriosis 2014
- Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature 2013
- Application of robotics in adnexal surgery. 2013
- Retrospective analysis of robot-assisted versus standard laparoscopy in the treatment of pelvic pain indicative of endometriosis 2013
- Diagnosis and Treatment of Bladder Endometriosis: State of the Art 2012
- Retrospective analysis of robot-assisted versus standard laparoscopy in the treatment of pelvic pain indicative of endometriosis 2012
- Robotic surgery in gynecology 2012
- Robotics as a new surgical minimally invasive approach to treatment of endometriosis: a systematic review 2011
- Robot-assisted total intracorporeal low anterior resection with primary anastomosis and radical dissection for treatment of stage IV endometriosis with bowel involvement: morbidity and its outcome 2011
- Étude de faisabilité du traitement laparoscopique robot-assisté de lésions d’endométriose pelvienne profonde 2011
- Robotic-Assisted Laparoscopic Treatment of Bowel, Bladder, and Ureteral Endometriosis 2011
- The expanding spectrum of robotic gynecologic surgery: A review 2011
- Robotic-Assisted Surgery for the Community Gynecologist 2011
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