Feasibility of two robotic single-site surgery techniques for adolescent endometriosis: Focal versus butterfly

Fan X, Xiaodong Fan, Kristina Duan, Duan K, Chunhua Zhang, Zhang C, Xiaoming Guan
The international journal of medical robotics + computer assisted surgery : MRCAS · 2021 · vol. 18(1) , pp. e2339 · doi:10.1002/rcs.2339 · PMID:34661960 · W3206195331
Other OA: closed CC0 ⤵ 2 in-corpus citations
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Robotic single-site surgery for adolescent endometriosis is safe, with butterfly resection appearing comparable to focal resection for pain relief in extensive lesions.

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Abstract

OBJECTIVE: This study examined the feasibility of robotic laparoendoscopic single-site surgery (LESS) for the treatment of adolescent endometriosis (n = 36). Additionally, we assessed a novel technique known as butterfly resection for severe cases. METHODS: This was a retrospective study of women from 12 to 21 years old who received therapeutic robotic LESS for symptomatic endometriosis by a single experienced surgeon. RESULTS: There were 32 cases of peritoneal and four cases of deep infiltrating endometriosis (DIE). Focal resection was performed in 9/32 peritoneal and all DIE cases; butterfly resection was performed in the remaining 23/32 peritoneal. At 3 months, 16/23 had complete resolution of pelvic pain in the butterfly group versus 10/13 in the focal group (P = 0.64). CONCLUSION: Robotic LESS produces safe outcomes with low complication rates. Butterfly resection may be considered for extensive lesions, with similar levels of pain relief compared to traditional focal resection techniques. CAPSULE: Single-site robotic surgery produces safe outcomes with low complication rates in adolescents with endometriosis, with techniques customized based on disease severity.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Endometriosis Endometriosis Laparoscopy Laparoscopy Robotic Surgical Procedures Robotic Surgical Procedures Adolescent Adolescent Adult Adult Child Child Feasibility Studies Feasibility Studies Female Female Humans Humans Retrospective Studies

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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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