Laparoscopic Segmental Resection of the Sigmoid and Rectosigmoid Colon for Endometriosis

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Laparoscopic segmental resection of the sigmoid and rectosigmoid colon was performed in five patients for endometriosis, with two requiring conversion to open laparotomy due to anastomosis difficulties.

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Abstract

Patients with symptomatic endometriosis of the colon and distal small bowel usually present with crampy abdominal pain, pelvic and rectal pain, constipation, and dyspareunia. Superficial disease can be easily resected laparoscopically with scissors. Deeper lesions require full-thickness resection and closure of the bowel. Occasionally deep, large, or multiple lesions will require segmental resection for adequate control of the disease. Five patients with intestinal endometriosis underwent attempted laparoscopic segmental colon resection. Two patients required conversion to open laparotomy because of difficulty with the anastomosis. No operative complications or deaths occurred in this group. Those patients undergoing laparoscopic colectomy showed return of bowel function within 24 to 48 h and were discharged home on postoperative day 4.

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Condition tags

endometriosisdyspareunia

MeSH descriptors

Colectomy Colonic Diseases Endometriosis Laparoscopy Rectal Diseases Adult Colectomy Colonic Diseases Colon, Sigmoid Colon, Sigmoid Endometriosis Female Humans Laparoscopy Rectal Diseases Rectum Rectum Sigmoid Diseases Sigmoid Diseases

Citation neighborhood

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europepmc
last seen: 2026-08-13T06:15:24.848197+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
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