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

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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.

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Authors and Affiliations

  1. Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Negrar, Verona, Italy

    Giacomo Ruffo & Filippo Scopelliti

  2. Department of Obstetrics and Gynecology, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni, 5, 37024, Negrar, Verona, Italy

    Marco Scioscia, Marcello Ceccaroni & Luca Minelli

  3. Department of Radiology, Sacro Cuore Don Calabria General Hospital, Negrar, Verona, Italy

    Paride Mainardi

Authors
  1. Giacomo Ruffo
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  2. Filippo Scopelliti
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  3. Marco Scioscia
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  4. Marcello Ceccaroni
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  5. Paride Mainardi
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  6. Luca Minelli
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Corresponding author

Correspondence to Marco Scioscia.

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Ruffo, G., Scopelliti, F., Scioscia, M. et al. Laparoscopic colorectal resection for deep infiltrating endometriosis: analysis of 436 cases. Surg Endosc 24, 63–67 (2010). https://doi.org/10.1007/s00464-009-0517-0

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  • DOI: https://doi.org/10.1007/s00464-009-0517-0

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