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Surgical Endoscopy

, 24:63 | Cite as

Laparoscopic colorectal resection for deep infiltrating endometriosis: analysis of 436 cases

  • Giacomo Ruffo
  • Filippo Scopelliti
  • Marco Scioscia
  • Marcello Ceccaroni
  • Paride Mainardi
  • Luca Minelli
Article

Abstract

Background

Complete removal of all visible lesions is considered the adequate treatment of pelvic endometriosis in order to reduce recurrence. Laparoscopic colorectal resection of bowel endometriosis is still challenging. A large series is reported.

Methods

A longitudinal evaluation of surgical and clinical complications of 436 cases of severe endometriosis with colorectal resection was carried out. All procedures were performed laparoscopically in a single center and short-term complications were surveyed.

Results

The overall complication rate was 8.3% with need for laparoconversion in 3.2%. Sixty patients required blood transfusion (13.7%), and rectovaginal fistulae were the most frequent postoperative complication (3.2%).

Conclusion

Laparoscopic colorectal resection for endometriosis is a relatively safe procedure in a context of close collaboration between gynecologists and surgeons, although it requires adequate training.

Keywords

Endometriosis Colorectal surgery Bowel endometriosis Laparoscopy 

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Giacomo Ruffo
    • 1
  • Filippo Scopelliti
    • 1
  • Marco Scioscia
    • 2
  • Marcello Ceccaroni
    • 2
  • Paride Mainardi
    • 3
  • Luca Minelli
    • 2
  1. 1.Department of General SurgerySacro Cuore Don Calabria General HospitalNegrar, VeronaItaly
  2. 2.Department of Obstetrics and GynecologySacro Cuore Don Calabria General HospitalNegrar, VeronaItaly
  3. 3.Department of RadiologySacro Cuore Don Calabria General HospitalNegrar, VeronaItaly

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