Clinical outcome after laparoscopic radical excision of endometriosis and laparoscopic segmental bowel resection

Christel Meuleman, Carla Tomassetti, Thomas D’Hooghe, Thomas M D'Hooghe
Current opinion in obstetrics & gynecology · 2012 · vol. 24(4) , pp. 245–252 · doi:10.1097/gco.0b013e3283556285 · PMID:22729087 · W2090843573
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

Laparoscopic radical excision of deeply infiltrative endometriosis with colorectal extension, including segmental bowel resection in specialized centers, yields good clinical outcomes with low complication and recurrence rates.

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Abstract

PURPOSE OF REVIEW: To present the clinical outcome after laparoscopic radical excision of deeply infiltrative endometriosis (DIE) with colorectal extension and laparoscopic segmental bowel resection. RECENT FINDINGS: In three different studies including mostly patients with recurrent DIE with colorectal extension, we showed that radical reconstructive CO2 laser laparoscopic resection of DIE with colorectal extension in a multidisciplinary setting resulted in a low complication rate, a low cumulative reintervention and recurrence rate and a high cumulative pregnancy rate, also when bowel resection reanastomosis was performed. In a systematic review to assess the clinical outcome of surgical treatment of DIE with colorectal involvement, data were reported in such a way that comparison of different surgical techniques was not possible. A checklist is proposed to achieve standardized reporting of presenting symptoms, preoperative tests, inclusion criteria, preoperative and postoperative care, complications, follow-up, patient-centered assessment of pain and quality of life, fertility and recurrence corrected for postoperative use of hormonal suppression or infertility treatment. SUMMARY: CO2 laser laparoscopic radical excision of DIE with colorectal extension and laparoscopic segmental bowel resection in centers of expertise is associated with good clinical outcome. To make real progress, international agreement is needed on terms and definitions used in surgical endometriosis research.

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Condition tags

endometriosisdie_deep_infiltratinginfertility

MeSH descriptors

Checklist Endometriosis Laparoscopy Lasers, Gas Postoperative Complications Rectal Diseases Adult Endometriosis Endometriosis Female Fertility Humans Lasers, Gas Middle Aged Pain Pain Pain Postoperative Complications Postoperative Complications Postoperative Complications

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (45)

Cited by (44)

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License: CC0 · commercial use OK