The early outcome of laparoscopic sigmoid and rectal resection for endometriosis

J Kössi, Jyrki Kössi, Kössi J, Setälä M, Marjaleena Setälä, M Setälä, B Enholm, Berndt Enholm, Enholm B, M Luostarinen, Markku Luostarinen, Luostarinen M
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2009 · vol. 12(3) , pp. 232–235 · doi:10.1111/j.1463-1318.2009.01923.x · PMID:19438891 · W2137596966
Other OA: closed CC0 ⤵ 21 in-corpus citations
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This study found that laparoscopic sigmoid and rectal resection for deep infiltrating endometriosis was safe and associated with few severe complications and rapid recovery in 31 patients.

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Abstract

AIM: Deeply infiltrating endometriosis (DIE) is the most severe form of endometriosis and may affect the rectum and sigmoid colon. The most effective treatment is segmental resection. We report our results of rectal and sigmoid resection for this. METHOD: The study comprises all patients who have had laparoscopic bowel resection for rectal or sigmoid endometriosis in the Päijät-Häme Central Hospital between 1 January 2004 and 31 May 2007. Patient demographics, operative details, complications and early postoperative recovery were prospectively collected and analysed. RESULTS: A total of 31 patients were treated using a multidisciplinary approach. The mean age was 33.6 years (range 21.7-48.6) and body mass index 24.2 (17-40). The mean operation time was 253.5 min (range 56-484). There were three sigmoid and 28 rectal resections and 80 concomitant gynaecological procedures. Conversion to open surgery was not required. A total of 23 (74.2%) patients recovered without complications. There were two major complications, anastomotic leakage and rectovaginal fistula. Minor complications included transient urinary retention (2), wound infection (1), pneumonia (1) and undefined fever (2). The mean time to full peroral diet was 3.8 days (range 3-7), to first flatus 2.6 days (1-4), to first bowel movement 3.5 days (2-6) and to discharge 5.7 days (4-13). CONCLUSION: Laparoscopic rectal and sigmoid resection for deep intestinal endometriosis is safe with few severe complications and rapid recovery. The long-term outcome on symptoms requires further study.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Colectomy Colectomy Endometriosis Laparoscopy Rectal Diseases Sigmoid Diseases Adult Adult Aged Aged Defecation Defecation Endometriosis Endometriosis Female Female Humans Humans Laparoscopy Laparoscopy

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (23)

Cited by (21)

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