Deep pelvic endometriosis (Adamyan IV stage): Multidisciplinary laparoscopic treatments
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This retrospective study evaluated the feasibility and outcomes of laparoscopic segmental bowel resection for deep infiltrating endometriosis, finding it a complex surgery requiring specialized multidisciplinary teams and high surgeon skill.
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Abstract
BACKGROUND: Few small studies have confirmed the feasibility of laparoscopic colorectal resection for Deep Infiltrating Endometriosis (DIE), albeit with a wide range of complications. AIM: The aim of this study is to evaluate retrospectively the feasibility and clinical outcome of laparoscopic segmental bowel resection for DIE. METHODS: We have retrospectively reviewed the data of patients undergoing laparoscopic rectosigmoidal resection for bowel endometriosis from January 2000 and June 2008. Data analysis included age, preoperative symptoms, operative procedure, operating room time, intraoperative and postoperative complication, length of stay and Quality of life. RESULTS: 56 colorectal laparoscopic resection for DIE were performed. No conversion occurred. There were no intraoperative complication; 35 patients had a temporary ileostomy and 15 required reoperation for major complication. CONCLUSION: DIE should be managed in specialised centers with a multidisciplinary equipe; it represents a difficult surgery which require a high surgeon skill and it must be practiced considering both the risks and the benefits.
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Cited by (10)
- Recommendations for a Combined Laparoscopic and Transanal Approach in Treating Deep Endometriosis of the Lower Rectum—The Rouen Technique 2021
- Rectovaginal Septum Endometriosis 2018
- Outcomes after rectosigmoid resection for endometriosis: a systematic literature review 2018
- Functional outcomes after disc excision in deep endometriosis of the rectum using transanal staplers: a series of 111 consecutive patients 2017
- Multiple Nodule Removal by Disc Excision and Segmental Resection in Multifocal Colorectal Endometriosis 2017
- Rectal shaving for deep endometriosis infiltrating the rectum: a 5-year continuous retrospective series 2016
- Multidisciplinary laparoscopic treatment for bowel endometriosis 2013
- Clinical outcome after CO2 laser laparoscopic radical excision of endometriosis with colorectal wall invasion combined with laparoscopic segmental bowel resection and reanastomosis 2011
- Rectal endometriosis with invasion into lymph nodes 2011
- Laparoscopic sigmoid resection with transrectal specimen extraction: a novel technique for the treatment of bowel endometriosis 2011
Source provenance
- europepmc
- last seen: 2026-06-13T06:22:48.782012+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:14:05.573375+00:00
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