[Laparoscopic treatment of deeply infiltrating colorectal endometriosis - ten years of single center experience]

Dominika Miklós, Noémi Dobó, Noémi Csibi, Réka Brubel, Gábor Szabó, Nándor Ács, Attila Bokor
Orvosi hetilap · 2023 · vol. 164(9) , pp. 348–354 · doi:10.1556/650.2023.32714 · PMID:36871263 · W4323255447
article OA: hybrid CC0 ⤵ 4 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study analyzed 675 laparoscopic bowel endometriosis surgeries performed between 2009 and 2020, finding that bowel endometriosis can be treated safely and effectively with various surgical approaches and that complications decrease with surgeon experience.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

A szerzők 2009 és 2020 között Semmelweis Egyetemen 675, belet érintő mélyen infiltráló colorectalis endometriosis miatt bélreszekción átesett beteg műtéti eredményeit elemezték, ahol négy laparoszkópos technika (shaving, discoid, szegmentális reszekció és NOSE) közül választottak, valamint esetenként ultramély anastomosist, sigmoideo- vagy ileostomát alkalmaztak. A 675 beavatkozásból 182 shaving, 93 discoid, 130 NOSE és 270 szegmentális reszekció történt, a medián műtéti idő 85 perc volt, átlagosan 6 nap kórházi tartózkodással; súlyos (Clavien–Dindo III vagy súlyosabb) szövődmény 18 esetben, laparotomiás konverzió 6 esetben, sztóma összesen 17 esetben jelentkezett. A cikk megfogalmazott korlátja, hogy egyetlen központ és ugyanaz a műtéti team adatai szerepelnek, ezért az eredmények inkább a technikák és a team-gyakorlat hatását tükrözhetik, nem pedig minden sebészre általánosítható teljesítményt. Ez a paper centrálisan endometriosisról szól — belet érintő mélyen infiltráló colorectalis endometriosis laparoszkópos kezelési tapasztalatát (10 éves, egyközpontú sorozat) dolgozza fel.

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Abstract

INTRODUCTION: Deep infiltrating endometriosis penetrates the peritoneal surface beneath 5 mm. The bowel is affected in 3-37% of the cases. OBJECTIVE: The aim of the authors was to analyze the results of the surgical procedures performed for bowel endometriosis. METHOD: Between 2009 and 2020, 675 patients underwent bowel endometriosis surgery at the Department of Obstetrics and Gyanecology of Semmelweis University. Four surgical approaches were performed: shaving, discoid, segmental and NOSE resection. RESULTS: 182 shaving, 93 discoid, 130 NOSE and 270 segmental bowel resections were performed. Ultra-deep anastomosis was performed in 40 cases. The median operative time was 85 minutes, the shortest intervention lasted 25 minutes, the longest 585 minutes. The average operating time was 260 (± 161.3) minutes for the first, and 114 (± 47.0) minutes for the last ten operations. The average blood loss was 10 (± 20.3) mL. The average hospital stay was 6 (± 2.3) days. Serious surgical complication (Clavien-Dindo III or more severe) developed in 18 cases. In a total of 17 cases sigmoideo- or ileostomy were used. Conversion to laparotomy was necessary in 6 cases. DISCUSSION: The same team performed all the interventions, which can show the effectiveness of the surgical techniques instead of the technique of individual surgeons. The complication rate is low in the case of an experienced surgical team, and the operating time decreases significantly in proportion to the number of operations performed. CONCLUSION: Bowel endometriosis can be treated safely and effectively with both conservative (shaving or discoid) and radical (segmental or NOSE resection) approach. Orv Hetil. 2023; 164(9): 348-354.

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Condition tags

endometriosisdie_deep_infiltratingbowel_endometriosis

MeSH descriptors

Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy Anastomosis, Surgical Anastomosis, Surgical

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