[Early evaluation of the feasibility of robot-assisted laparoscopy in the surgical treatment of deep infiltrating endometriosis]

V. Bot‐Robin, V Bot-Robin, Bot-Robin V, Rubod C, C. Rubod, Chrystèle Rubod, Zini L, Luca Zini, L Zini, Pierre Collinet, P Collinet, Collinet P
Gynecologie, obstetrique & fertilite · 2011 · vol. 39(7-8) , pp. 407–411 · doi:10.1016/j.gyobfe.2011.05.002 · PMID:21742535 · W2168285536
Case report OA: closed CC0 ⤵ 7 in-corpus citations
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This feasibility study evaluated robot-assisted laparoscopic treatment for deep pelvic endometriosis, assessing surgical outcomes and feasibility of the approach.

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Abstract

BACKGROUND: Preliminary study of the feasibility of robot-assisted laparoscopy for deep pelvic endometriosis nodule resection. PATIENTS AND METHODS: Between May 2009 and February 2010, we collected medical and surgical data about deep infiltrating endometriosis resections performed in our institution, using robot-assisted laparoscopy (DA VINCI Intuitive Surgical System(®)). RESULTS: Six patients were included: four partial bladder and two uterosacral ligament resections. The median age was 29.5 years (24-48). All patients reported chronic pelvic pain, associated with urinary tract symptoms in case of bladder endometriosis. Before surgery, lesion mapping was performed using magnetic resonance imaging for all, and mechanical bowel preparation or double-j stenting were prescribed, depending on the endometriosis location. Surgical procedures median time was 173 minutes (156-244), and median length of stay was 3 days (2-5). Complete resection was possible in all cases. There was no conversion in classical laparoscopy or laparotomy, and no intraoperative complication. Pathology diagnosis of surgical pieces concluded to endometriosis lesion in all cases. CONCLUSION: This study shows the feasibility of the robot-assisted laparoscopy in the resection of deep pelvic endometriosis, without increasing of surgical timing, blood loss or intraoperative complications.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Endometriosis Laparoscopy Ligaments Robotics Robotics Urinary Bladder Diseases Adult Adult Chronic Disease Chronic Disease Endometriosis Endometriosis Endometriosis Feasibility Studies Feasibility Studies Female Female Humans Humans

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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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (22)

Cited by (8)

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License: CC0 · commercial use OK