Feasibility and clinical outcome of laparoscopic colorectal resection for endometriosis

Darai E, Émile Daraï, Emile Darai, Thomassin I, Isabelle Thomassin, Emmanuel Barranger, Barranger E, Romain Detchev, Detchev R, Cortez A, Annie Cortez, A. Cortez, Houry S, S Houry, Sydney Houry, Marc Bazot, Bazot M
American journal of obstetrics and gynecology · 2005 · vol. 192(2) , pp. 394–400 · doi:10.1016/j.ajog.2004.08.033 · PMID:15695977 · W1973638124
article OA: closed CC0 ⤵ 215 in-corpus citations
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This paper assesses the feasibility and clinical outcomes of using laparoscopic surgery for colorectal endometriosis resections.

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Abstract

ObjectiveThis study was undertaken to evaluate the feasibility and complications of laparoscopic segmental colorectal resection for endometriosis and its efficacy on gynecologic and digestive symptoms.Study designAfter magnetic resonance imaging and rectal endoscopic sonographic evaluation of symptomatic colorectal endometriosis, 40 consecutive women requiring colorectal resection were included in this study. Symptom questionnaires were completed before and after the procedure. Perioperative complications and linear intensity scores for several gynecologic and digestive symptoms were recorded.ResultsThirty-six women (90%) underwent laparoscopic segmental colorectal resection and 4 required laparoconversion. Major complications occurred in 4 cases (10%), including 3 rectovaginal fistulae and 1 pelvic abscess. Transient urinary dysfunction occurred in 7 women (17.5%). Median follow-up after colorectal resection was 15 months (3-22 months). Median overall preoperative and postoperative pain scores were 8 +/- 1 (range 4-10) and 2 +/- 2 (0-10), respectively ( P < .0001). Nonmenstrual pelvic pain ( P = .0001), dysmenorrhea ( P < .0001), dyspareunia ( P = .0001), and pain on defecation ( P < .0005) were improved by colorectal resection. Lower back pain and asthenia were not improved.ConclusionOur results suggest that laparoscopic segmental colorectal resection for endometriosis is feasible but carries a risk of major postoperative complications. Colorectal resection improved gynecologic and digestive symptoms, and the overall pain score.

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Condition tags

endometriosis

MeSH descriptors

Colon Endometriosis Intestinal Diseases Laparoscopy Rectum Adult Colon Endometriosis Endometriosis Endosonography Female Humans Intestinal Diseases Laparoscopy Magnetic Resonance Imaging Middle Aged Postoperative Complications Postoperative Complications Rectum

Citation neighborhood

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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