Laparoscopic colorectal resection for deep infiltrating endometriosis: analysis of 436 cases

Giacomo Ruffo, F. Scopelliti, Filippo Scopelliti, Marco Scioscia, Marcello Ceccaroni, Paride Mainardi, Luca Minelli
Surgical endoscopy · 2009 · vol. 24(1) , pp. 63–67 · doi:10.1007/s00464-009-0517-0 · PMID:19466489 · W2001368341
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

This study evaluated short-term complications in 436 laparoscopic colorectal resections for endometriosis, finding an 8.3% overall complication rate with rectovaginal fistulae as the most common postoperative issue.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This single-center longitudinal study evaluated surgical and short-term clinical complications in 436 cases of severe deep infiltrating endometriosis treated with laparoscopic colorectal resection. All procedures were performed laparoscopically, and the authors quantified overall complications, rates of conversion to laparotomy, need for blood transfusion, and the frequency of specific postoperative complications. The overall complication rate was 8.3%, laparoconversion occurred in 3.2%, blood transfusion was required in 13.7%, and rectovaginal fistulae were the most frequent postoperative complication (3.2%). The paper’s main limitation is that it reports short-term outcomes from one center, with feasibility and safety likely dependent on the described collaborative surgical training model. This paper is centrally about endometriosis — specifically reporting complication rates and laparoscopic outcomes for deep infiltrating (colorectal) endometriosis requiring resection.

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Abstract

Background Complete removal of all visible lesions is considered the adequate treatment of pelvic endometriosis in order to reduce recurrence. Laparoscopic colorectal resection of bowel endometriosis is still challenging. A large series is reported.

Methods

A longitudinal evaluation of surgical and clinical complications of 436 cases of severe endometriosis with colorectal resection was carried out. All procedures were performed laparoscopically in a single center and short-term complications were surveyed.

Results

The overall complication rate was 8.3% with need for laparoconversion in 3.2%. Sixty patients required blood transfusion (13.7%), and rectovaginal fistulae were the most frequent postoperative complication (3.2%).

Conclusion

Laparoscopic colorectal resection for endometriosis is a relatively safe procedure in a context of close collaboration between gynecologists and surgeons, although it requires adequate training. Similar content being viewed by others

References

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Condition tags

mesh:D004715endometriosisdie_deep_infiltrating

MeSH descriptors

Colectomy Colonic Diseases Endometriosis Rectal Diseases Adult Colonic Diseases Endometriosis Female Humans Laparoscopy Rectal Diseases Rectum Rectum

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