Experience with multidisciplinary laparoscopic surgery in patients with deep infiltrating colorectal endometriosis

Orvosi hetilap · 2014 · vol. 155(5) , pp. 182–186 · doi:10.1556/oh.2014.29809 · PMID:24463164 · W2180389026
article OA: bronze CC0 ⤵ 3 in-corpus citations
AI-generated summary by claude@2026-06, 2026-06-08

This study analyzed segmental colorectal resections in 50 patients with deep infiltrating endometriosis, finding it an efficient and safe treatment with fertility preservation and low severe complication rates.

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Abstract

INTRODUCTION: Deep infiltrating endometriosis is a particular form of endometriosis that penetrates the peritoneal surface or it reaches the subserosal neurovascular plexus. AIM: The aim of the authors was to analyze the results of segmental colorectal resections performed for deep infiltrating endometriosis. METHOD: Between 2009 and 2012, 50 patients underwent segmental rectum or/and sigmoid resection for endometriosis. RESULTS: 21 patients had ultralow rectal resection and 29 patients had low colorectal anastomosis or anterior resection. Concomitant intervention in other organs was required in all cases, including gynecologic procedures (n = 50), additional gynecologic (n = 47), vesical (n = 9) and ureteral (n = 18) resections. The mean number of endometriosis lesions was 2.4±1.8 per patient. In all patients fertility was preserved. Severe surgical complications (Clavien-Dindo stage III or more severe) occurred in 3 patients (6%). CONCLUSIONS: The results confirm that segmental bowel resection is an efficient and safe method for the treatment of deep infiltrating colorectal endometriosis. Orv. Hetil., 2014, 155(5), 182-186.

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endometriosisdie_deep_infiltrating

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