Outcome of laparoscopic colorectal resection for endometriosis

Daraï E, Emile Daraï, Émile Daraï, Marc Bazot, Bazot M, Roman Rouzier, Sydney Houry, Houry S, S Houry, Dubernard G, Gil Dubernard
Current opinion in obstetrics & gynecology · 2007 · vol. 19(4) , pp. 308–313 · doi:10.1097/gco.0b013e328216f6bc · PMID:17625410 · W2031738303
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Laparoscopic colorectal resection for endometriosis offers symptom relief and improved quality of life, with a need for further studies on patient selection.

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Abstract

PURPOSE OF REVIEW: Endometriosis is a frequent gynaecological disorder in young women. Colorectal endometriosis accounts for about 90% of all intestinal locations. The effectiveness of medical therapies is poor, and surgery, including colorectal resection, is therefore often required. Since the first description of laparoscopic colorectal resection by Redwine and Sharp, the feasibility of this approach has been confirmed by several teams but remains a matter of debate. RECENT FINDINGS: A review of the literature showed that conversion to laparotomy was necessary in 7.8% of cases. Segmental colorectal resection appears to be the best option, owing to the risk of incomplete resection in the case of full-thickness disc or superficial-thickness excision. However, complications are more frequent with segmental resection than with other procedures, and include de-novo urinary disorders. Laparoscopic colorectal resection for endometriosis is associated with symptom relief and a significant improvement in quality of life. In addition, 44.6% of women wishing to conceive were able to do so. SUMMARY: Laparoscopic colorectal resection for endometriosis appears to be an adequate alternative to laparotomy. Further studies are required to identify objective criteria with which to select women most likely to benefit from this surgery, which must be performed in special units.
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Outcome of laparoscopic colorectal resection for endometriosis - Emile Daraï - Marc Bazot - Roman Rouzier - Sydney Houry - Gil Dubernard Purpose of review Endometriosis is a frequent gynaecological disorder in young women. Colorectal endometriosis accounts for about 90% of all intestinal locations. The effectiveness of medical therapies is poor, and surgery, including colorectal resection, is therefore often required. Since the first description of laparoscopic colorectal resection by Redwine and Sharp, the feasibility of this approach has been confirmed by several teams but remains a matter of debate. Recent findings A review of the literature showed that conversion to laparotomy was necessary in 7.8% of cases. Segmental colorectal resection appears to be the best option, owing to the risk of incomplete resection in the case of full-thickness disc or superficial-thickness excision. However, complications are more frequent with segmental resection than with other procedures, and include de-novo urinary disorders. Laparoscopic colorectal resection for endometriosis is associated with symptom relief and a significant improvement in quality of life. In addition, 44.6% of women wishing to conceive were able to do so. Summary Laparoscopic colorectal resection for endometriosis appears to be an adequate alternative to laparotomy. Further studies are required to identify objective criteria with which to select women most likely to benefit from this surgery, which must be performed in special units.

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Condition tags

endometriosis

MeSH descriptors

Colonic Diseases Colorectal Surgery Endometriosis Rectal Diseases Colonic Diseases Colorectal Surgery Endometriosis Female Fertility Humans Laparoscopy Laparoscopy Quality of Life Rectal Diseases Treatment Outcome

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.

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