Laparoscopic colorectal resection for endometriosis

Roberto Campagnacci, R Campagnacci, S Perretta, Silvana Perretta, M Guerrieri, Mario Guerrieri, A M Paganini, Alessandro M. Paganini, A De Sanctis, A Ciavattini, Andrea Ciavattini, Emanuele Lezoche, E Lezoche
Surgical endoscopy · 2005 · vol. 19(5) , pp. 662–664 · doi:10.1007/s00464-004-8710-7 · PMID:15759190 · W2086717603
article OA: closed CC0 ⤵ 90 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This study evaluated seven patients with colorectal endometriosis treated with laparoscopic resection, finding complete symptom relief in 71% and no major complications.

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

This paper studied 29 consecutive patients with deep pelvic endometriosis who required laparoscopic intervention, focusing on 7 patients in whom colorectal involvement (rectosigmoid) was identified preoperatively; low anterior resection or sigmoid resection was performed in selected cases with colonoscopy showing normal mucosa in all patients. The authors report that complete laparoscopic management involved resecting the bowel segment with involvement and excising other endometriosis implants, with outcomes assessed using operative time, conversion rate, complications, length of stay, and pain relief. No anastomotic leaks or major postoperative complications occurred, with a temporary urinary retention in one patient, and at a median follow-up of 38.7 months most patients achieved complete or improved pelvic symptom relief, except one with a new colonic implant diagnosed two years later requiring reoperation. The main limitation explicitly reflected by the design is the small, single-center case series without a comparative laparoscopic-versus-open control group. This paper is centrally about endometriosis — it evaluates feasibility and effectiveness of laparoscopic colorectal resection for rectosigmoid deep pelvic endometriosis.

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Condition tags

mesh:D004412mesh:D004414mesh:D004715mesh:D017699endometriosis

MeSH descriptors

Colectomy Endometriosis Laparoscopy Rectal Diseases Sigmoid Diseases Adult Colectomy Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Endometriosis Endometriosis Endometriosis Feasibility Studies Female Gastrointestinal Hemorrhage Gastrointestinal Hemorrhage Humans Laparoscopy

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