Robotic-assisted laparoscopy is a feasible method for resection of deep infiltrating endometriosis, especially in the rectosigmoid area

Janika Hiltunen, Marja-Liisa Eloranta, Auni Lindgren, Leea Keski-Nisula, Leea Keski‐Nisula, Maarit Anttila, Hanna Sallinen
The Journal of international medical research · 2021 · vol. 49(8) , pp. 3000605211032788 · doi:10.1177/03000605211032788 · PMID:34407685 · PMC8381426 · W3135166270
article OA: gold CC0 ⤵ 8 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Robotic-assisted laparoscopy enabled higher rates of rectovaginal resection and bowel operations for endometriosis compared to conventional laparoscopy, with no difference in complication rates or quality of life improvement.

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Abstract

OBJECTIVE: This study aimed to compare outcomes of mini-invasive surgical treatment of endometriosis, especially conventional laparoscopy with robotic-assisted laparoscopy, and to evaluate the quality of life. METHODS: One hundred three consecutive patients with endometriosis who had surgery from 2014 to 2017 owing to an indication of pain were enrolled in this retrospective study. The majority (n = 77, 75%) of patients underwent conventional laparoscopy and 18 (17%) had robotic-assisted laparoscopy. The quality of life was postoperatively assessed with a questionnaire. RESULTS: The rates of parametrectomy (76% vs. 45%,) and rectovaginal resection (28% vs. 4%) were significantly higher in robotic-assisted laparoscopy than in laparoscopy. Additionally, the rate of bowel operations (50% vs. 17%), especially the shaving technique, was higher in robotic-assisted laparoscopy surgery than in laparoscopy (39% vs. 8%). There was no difference in the rate of postoperative complications between laparoscopy and robotic-assisted laparoscopy. Most (91%) of the patients who answered the questionnaire felt that surgical treatment had relieved their pain. In the laparoscopic and robotic-assisted groups, 88% of respondents felt that their quality of life had improved after surgery. CONCLUSIONS: This study suggests that robotic-assisted laparoscopy is a feasible method to resect deep infiltrating endometriosis, especially in the rectosigmoid area.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Endometriosis Laparoscopy Robotic Surgical Procedures Female Humans Postoperative Complications Postoperative Complications Quality of Life Retrospective Studies Treatment Outcome

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Cited by (8)

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