Étude comparative : laparoscopie robot assistée versus cœlioscopie chez les patientes avec une endométriose vésicale

Marie-Claude Carpentier, le Carpentier M, M le Carpentier, Benjamin Merlot, B Merlot, Merlot B, V Bot Robin, Bot Robin V, V. Robín, Rubod C, C. Rubod, Chrystèle Rubod, P Collinet, Collinet P, Pierre Collinet
Gynecologie, obstetrique & fertilite · 2016 · vol. 44(6) , pp. 315–321 · doi:10.1016/j.gyobfe.2016.02.006 · PMID:27032760 · W2480925818
article OA: closed CC0 ⤵ 17 in-corpus citations
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This study compared robotic-assisted laparoscopy to conventional laparoscopy in patients with bladder endometriosis.

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Abstract

ObjectivesTo compare robot-assisted laparoscopy (RL) and conventional laparoscopy (CL) in surgery for bladder endometriosis.MethodsA retrospective study was conducted between January 2007 and December 2013, including patients with bladder endometriosis receiving at least a partial cystectomy by RL or CL. The primary endpoint was the presence of a radiological recurrence at bladder level.ResultsWe included 15 patients in the RL group and 22 in the CL group. The median age was 29 years±7 years. The symptoms were similar in the 2 groups. Pre-surgical mapping of the lesions was carried out with MRI. Sixty percent of patients in the RL group vs 91% in the CL group had other associated endometriosis lesions, P=0.04. The median size of the bladder lesion was 30±8mm in the RL group vs 23±7mm in the CL group, P=0.03. The median operative time was 210 vs 225min, P=0.8. We did not find any significant difference in intraoperative and early and late postoperative complications between the 2 groups. The median length of stay was 5 days vs 6 days. The proportion of relapse was 20 vs 23%, P>0.05. Clinical improvement was similar between the groups, i.e. 93 vs 86%, P=0.6 and the pregnancy rate was 93 vs 86%, P=0.6.ConclusionsRobot-assisted laparoscopy in the surgical treatment of bladder endometriosis as compared to traditional laparoscopy does not seem to have an adverse effect neither on the risk of recurrence nor on the occurrence of intra- and postoperative complications.

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Condition tags

endometriosis

MeSH descriptors

Cystectomy Endometriosis Laparoscopy Robotic Surgical Procedures Urinary Bladder Diseases Adult Cystectomy Endometriosis Female Humans Laparoscopy Postoperative Complications Recurrence Retrospective Studies Robotic Surgical Procedures Treatment Outcome Urinary Bladder Diseases

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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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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