Peri-operative outcomes of patients with stage IV endometriosis undergoing robotic-assisted laparoscopic surgery

Lorna A Brudie, Giorgia Gaia, Sarfraz Ahmad, Neil J Finkler, Glenn E Bigsby, Giselle B Ghurani, James E Kendrick, Joseph A Rakowski, J.A. Rakowski, Jessica H Groton, Robert W Holloway
Journal of robotic surgery · 2011 · vol. 6(4) , pp. 317–322 · doi:10.1007/s11701-011-0314-3 · PMID:27628471 · W2075187759
article OA: closed CC0 ⤵ 17 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Robotic-assisted surgery for stage IV endometriosis in 80 patients demonstrated excellent pain relief with few complications and laparotomy conversions during the initial learning curve.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This study retrospectively analyzed peri-operative outcomes in 80 women with surgically confirmed stage IV endometriosis who underwent robotic-assisted laparoscopic surgery at a tertiary gynecologic oncology referral center between 2007 and 2010, capturing presenting symptoms and the types of robotic procedures performed (e.g., hysterectomy/BSO/USO, modified radical hysterectomy, and limited ovarian cystectomy with implant excision). The authors report mean operative time of 115 minutes, low estimated blood loss, an average length of stay of about 1 day, no transfusions, a small conversion to laparotomy rate (5% during early cases), and a low overall complication rate (5%), with one subsequent surgery for recurrent dyspareunia. They note this occurred during a robotic learning-curve experience, which may affect outcomes over time, and the analysis is limited to a single center with a selected cohort. This paper is centrally about endometriosis — it evaluates peri-operative outcomes of robotic-assisted laparoscopic surgery specifically for stage IV endometriosis.

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endometriosis

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