Robot-assisted laparoscopy for deep infiltrating endometriosis: international multicentric retrospective study

Collinet P, Pierre Collinet, Pierre Lèguevaque, Leguevaque P, Pierre Leguevaque, Neme RM, Rosa Maria Neme, Vito Cela, Cela V, Barton-Smith P, Peter Barton-Smith, Peter Barton‐Smith, Thomas Hébert, Hébert T, Hanssens S, Sandy Hanssens, Hirotaka Nishi, Nishi H, Michelle Nisolle, Nisolle M
Surgical endoscopy · 2014 · vol. 28(8) , pp. 2474–2479 · doi:10.1007/s00464-014-3480-3 · PMID:24609708 · W2020249910
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

Robot-assisted laparoscopy for deep infiltrating endometriosis in 164 women showed an average operative time of 180 minutes with a low complication and reoperation rate and significant fertility recovery.

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

This international multicenter retrospective study evaluated perioperative outcomes of robot-assisted laparoscopy (da Vinci system) in 164 women with stage 4 deep infiltrating endometriosis, assessing procedure details, operative duration, complications, recurrence, and fertility-related impacts, based on surgeries performed from 2008 to 2012 across eight centers. The average operative time was 180 minutes, with reported complications including rare laparotomy, bowel and urinary tract injuries/leaks/fistulae, and an overall reoperation rate of 1.8%; 86.7% had full recovery, and among patients desiring pregnancy, 28.2% became pregnant during a mean follow-up of 10.2 months. The paper reports that no increase in operative time, blood loss, or intra-/postoperative complications was observed, with the key limitation being its retrospective design and relatively short follow-up. This paper is centrally about endometriosis — it specifically analyzes robot-assisted laparoscopy outcomes for deep infiltrating endometriosis.

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Abstract

BackgroundThis study aimed to assess the interest in robot-assisted laparoscopy for deep infiltrating endometriosis and to investigate the perioperative results.MethodsFrom November 2008 to April 2012, 164 women with stage 4 endometriosis who underwent robot-assisted laparoscopy (da Vinci Intuitive Surgical System) were included by to eight international participating clinical centers. This study evaluated the procedures performed, the duration of the intervention, the complications, the recurrence, and the impact on fertility.ResultsThe average operative time was 180 min. The main complications were laparotomy (n = 1, 0.6%), sutured bowel injury (n = 2, 1.2%), transfusion for a 2,300-ml bleed (n = 1), prolonged urinary catheterization (n = 1, 0.6%), ureter-bladder anastomotic leak (n = 1, 0.6%), and ureteral fistula after ureterolysis (n = 2, 1.2%). The reoperation rate was 1.8% (n = 3). The mean follow-up period was 10.2 months. A full recovery was experienced by 86.7% (98/113) of the patients. After surgery, 41.2% (42/102) of the patients had a desire for pregnancy, and 28.2% (11/39) of them became pregnant.ConclusionThis study analyzed the largest series of robot-assisted laparoscopies for deep infiltrating endometriosis published in the literature. No increase in surgical time, blood loss, or intra- or postoperative complications was observed. The interest in robot-assisted laparoscopy for deep infiltrating endometriosis seems to be promising.
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Abstract

Background This study aimed to assess the interest in robot-assisted laparoscopy for deep infiltrating endometriosis and to investigate the perioperative results.

Methods

From November 2008 to April 2012, 164 women with stage 4 endometriosis who underwent robot-assisted laparoscopy (da Vinci Intuitive Surgical System) were included by to eight international participating clinical centers. This study evaluated the procedures performed, the duration of the intervention, the complications, the recurrence, and the impact on fertility.

Results

The average operative time was 180 min. The main complications were laparotomy (n = 1, 0.6 %), sutured bowel injury (n = 2, 1.2 %), transfusion for a 2,300-ml bleed (n = 1), prolonged urinary catheterization (n = 1, 0.6 %), ureter-bladder anastomotic leak (n = 1, 0.6 %), and ureteral fistula after ureterolysis (n = 2, 1.2 %). The reoperation rate was 1.8 % (n = 3). The mean follow-up period was 10.2 months. A full recovery was experienced by 86.7 % (98/113) of the patients. After surgery, 41.2 % (42/102) of the patients had a desire for pregnancy, and 28.2 % (11/39) of them became pregnant.

Conclusion

This study analyzed the largest series of robot-assisted laparoscopies for deep infiltrating endometriosis published in the literature. No increase in surgical time, blood loss, or intra- or postoperative complications was observed. The interest in robot-assisted laparoscopy for deep infiltrating endometriosis seems to be promising. Similar content being viewed by others

References

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Gynecol Obstet Fertil 36:1214–1217 Meuleman C, Tomassetti C, D’Hoore A, Van Cleynenbreugel B, Penninckx F, Vergote I et al (2011) Surgical treatment of deeply infiltrating endometriosis with colorectal involvement. Hum Reprod Update 17:311–326 Vignali M, Bianchi S, Candiani M, Spadaccini G, Oggioni G, Busacca M (2005) Surgical treatment of deep endometriosis and risk of recurrence. J Minim Invasive Gynecol 12:508–513 Disclosures Pierre Collinet, Pierre Leguevaque, Rosa Maria Neme, Vito Cela, Peter Barton-Smith, Thomas Hébert, Sandy Hanssens, Hirotaka Nishi, and Michelle Nisolle have no conflicts of interest or financial ties to disclose. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Collinet, P., Leguevaque, P., Neme, R.M. et al. Robot-assisted laparoscopy for deep infiltrating endometriosis: international multicentric retrospective study. Surg Endosc 28, 2474–2479 (2014). https://doi.org/10.1007/s00464-014-3480-3 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00464-014-3480-3

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Laparoscopy Robotic Surgical Procedures Adult Endometriosis Endometriosis Female Humans Hysterectomy Infertility, Female Infertility, Female Infertility, Female Middle Aged Operative Time Postoperative Complications Pregnancy Pregnancy Rate Rectal Diseases Rectal Diseases Retrospective Studies

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