Endometriosis colorrectal. Una propuesta de clasificación complementaria y de manejo quirúrgico por etapas

Armando Cepeda-Silva, Harald Krentel, Oliver Cruz-Orozco, Oliver P Cruz-Orozco, Jorge L Vela-Cantorán, Edgar González-Macedo, Alejandro Rendón-Molina, José Roberto Silvestri-Tomassoni, José R Silvestri-Tomassoni
Cirugia y cirujanos · 2024 · vol. 92(1) , pp. 104–111 · doi:10.24875/ciru.23000251 · PMID:38537245 · W4392520080
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study proposes a new staging system for colorectal endometriosis based on lesion characteristics and surgical findings, which correlated with the need for reintervention in retrospectively analyzed patients.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This study examined colorectal endometriosis and aimed to organize international knowledge on surgical staging and management by developing a complementary, stepwise classification. The authors performed a broad non-systematic literature review (including guidelines and studies from 2006–2022) to identify surgeon decision factors, complication-associated factors, and recurrence-associated factors, grouping them into TAC categories (tumor/endometrioma characteristics, patient antecedentes, and surgery factors) and translating these into three stages (TAC 1 limited, TAC 2 intermediate, TAC 3 advanced), with preoperative classification refined by intraoperative findings and postoperative histopathology. They then retrospectively tested the proposed staging in 19 consecutively treated patients with histologically confirmed colorectal endometriosis managed laparoscopically by the same surgical team from 2017 to 2023, finding a strong correlation between higher stage and complications that required reinterventions, while explicitly noting the need for future prospective, multi-center validation. This paper is centrally about endometriosis — it proposes a colorectal endometriosis classification and staged surgical management framework linked to complications and reinterventions.

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Abstract

OBJECTIVE: To organize the experience and international knowledge in the surgical management and staging of colorectal endometriosis, with a management proposal in stages. METHOD: An extensive non-systematic review of the literature was carried to organize the disease in stages (limited, intermediate and advanced) according to a scoring system, which considers the characteristics of the endometrioma, the personal history and surgical findings. We tested the proposed staging in a retrospective group of patients. RESULTS: From January 2017 to April 2023, we collected 19 patients with a confirmed diagnosis of colorectal endometriosis, treated laparoscopically, by the same group of surgeons, in whom we found a strong correlation between the stage of the disease and the presence of complications that required reinterventions. CONCLUSIONS: We suggest a sequence of colorectal surgical management in stages according to the staging of the disease and we hope that this work will be followed by joint efforts to test it prospectively in order to compare results between hospital centers and make planned decisions.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Laparoscopy

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.

References (9)

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europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
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