Tratamento laparoscópico de 98 pacientes com endometriose intestinal

Luciana Maria Pyramo Costa, Ivete de Ávila, Ivone Dirk Souza Filogonio, Luiz Gonzaga Rodrigues Machado, Márcia Mendonça Carneiro
In: Revista Brasileira de Coloproctologia · 2010 · vol. 30(1) , pp. 31–36 · doi:10.1590/s0101-98802010000100004 · W2058581885
article OA: diamond CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This retrospective study analyzed 98 patients undergoing laparoscopic surgery for intestinal endometriosis, finding low operative morbidity and recurrence rates across various resection techniques.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This retrospective study evaluated surgical records of 98 women treated for bowel endometriosis at Biocor Instituto (Belo Horizonte, Brazil) from January 2002 to June 2009, performed by a multidisciplinary team, with the aim of describing operative procedures and operative morbidity. The most common procedures were segmental rectal resection (45.5%), intestinal disc excision (24.7%), and shaving (17.8%), and the most frequent concomitant surgery was ovarian endometrioma resection (n=45). Operative morbidity was 9.2%, with major complications including rectovaginal fistula (1%) and anastomotic dehiscence (1%); among 42 patients with a mean 14-month follow-up, clinical recurrence occurred in 8 cases and ultrasound-detected intestinal wall recurrence in 4 asymptomatic cases. The paper’s main limitation is its retrospective design and relatively short, incomplete follow-up. This paper is centrally about endometriosis — laparoscopic treatment outcomes for intestinal (bowel) endometriosis.

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Abstract

OBJETIVO: Identificar os tipos de tratamento cirúrgico e a morbidade operatória na endometriose intestinal. MÉTODOS: Estudo retrospectivo de pacientes operadas no Biocor Instituto (Belo Horizonte, MG) por uma equipe multidisciplinar para tratamento de endometriose no período de janeiro de 2002 a junho de 2009. RESULTADO: Noventa e oito pacientes foram submetidas aos seguintes procedimentos para tratamento da endometriose intestinal: ressecção segmentar do reto (n 46; 45,5%), ressecção em disco (n 25; 24,7%), "shaving" (n 18; 17,8%), apendicectomia (n 5; 5%), liberação de aderências sem ressecção (n 5; 5%), ressecção segmentar do sigmóide (n 1; 1%) e ressecção segmentar do colo direito (n 1, 1%). A cirurgia concomitante mais freqüente foi a ressecção de endometriomas ovarianos (n 45). A morbidade operatória foi de 9,2%, sendo as complicações maiores uma fístula retovaginal (1%) e uma deiscência de anastomose (1%). Quarenta e duas pacientes tiveram seguimento médio de 14 meses com recidiva clínica em 8 casos (dor pélvica e dispareunia) e 4 recidivas de imagem à ultrassonografia em parede intestinal, assintomáticas. CONCLUSÃO: O tratamento da endometriose por laparoscopia é factível e seguro, com baixos índices de recidiva.

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