[Colorectal endometriosis surgery: Technical and technological innovations in service of a complex surgery]

Adrien Crestani, Crestani A, Merlot B, Benjamin Merlot, Denost Q, Quentin Denost, Marc Olivier Francois, Francois MO, Marc Olivier François, Vincent Assenat, Assenat V, Lacheray IC, Isabella Chanavaz Lacheray, Thomas Dennis, Dennis T, Horace Roman, Roman H
Gynecologie, obstetrique, fertilite & senologie · 2025 · vol. 53(6) , pp. 298–305 · doi:10.1016/j.gofs.2025.03.007 · PMID:40157501 · W4408919760
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This review examines historical literature and French teams' contributions to technical and technological innovations in complex colorectal endometriosis surgery.

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Abstract

INTRODUCTION: Digestive endometriosis represents the most common form of deep endometriosis, significantly impacting patients' quality of life. The optimization of its surgical management has been marked by major technological advances. This review explores the evolution of colorectal endometriosis surgery, highlighting the progress in laparoscopy, the contribution of robotics, the shift towards organ preservation, and the optimization of postoperative care. METHODS: A systematic literature search was conducted in the PubMed and Embase databases, focusing on clinical studies, meta-analyses, and international guidelines published between 1980 and 2025. Articles were selected based on their relevance to technical advancements and clinical outcomes. RESULTS: Laparoscopy has replaced laparotomy, leading to a reduction in complications and an improvement in postoperative quality of life. Robotics, while not a groundbreaking revolution, provides advantages in precision and surgeon comfort. Conservative procedures have emerged as safe alternatives to systematic extensive segmental resection. Indication criteria have evolved to favor strategies tailored to the depth and extent of lesions while minimizing complication risks and preserving digestive function and quality of life. The standardization of procedures, the abandonment of systematic protective ileostomy, and enhanced recovery protocols have contributed to reducing surgical morbidity and improving patients' quality of life. CONCLUSION: Technical and technological advancements have transformed colorectal endometriosis surgery. Surgical strategies are shifting towards personalized approaches, integrating minimally invasive surgery and optimized multidisciplinary management. The future lies in the continuous improvement of techniques and the better standardization of surgical indications.

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Condition tags

endometriosis

MeSH descriptors

Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases Colonic Diseases

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 (64)

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License: CC0 · commercial use OK