Deep Infiltrating Colorectal Endometriosis Treated With Robotic-Assisted Rectosigmoidectomy

Deep Infiltrating Colorectal Endometriosis Treated With Robotic-Assisted Rectosigmoidectomy

Autor Neme, Rosa Maria Google Scholar
Schraibman, Vladimir Autor UNIFESP Google Scholar
Okazaki, Samuel Autor UNIFESP Google Scholar
Maccapani, Gabriel Autor UNIFESP Google Scholar
Chen, Winston Jenning Google Scholar
Domit, Cassia Danielle Google Scholar
Kaufmann, Oskar Grau Autor UNIFESP Google Scholar
Advincula, Arnold P. Google Scholar
Instituição Universidade de São Paulo (USP)
Ctr Endometriose São Paulo
Albert Einstein Hosp
Universidade Federal de São Paulo (UNIFESP)
Digimagem Med Diagnost
Univ Cent Florida
Florida Hosp Celebrat Hlth
Resumo Background and Objective: Deep infiltrating pelvic endometriosis with bowel involvement is one of the most aggressive forms of endometriosis. Nowadays, robotic technology and telemanipulation systems represent the latest developments in minimally invasive surgery. the aim of this study is to present our preliminary results and evaluate the feasibility of robotic-assisted laparoscopic colorectal resection for severe endometriosis.Methods: Between September 2009 and December 2011, 10 women with colorectal endometriosis underwent surgery with the da Vinci robotic surgical system (Intuitive Surgical, Sunnyvale, CA, USA). We evaluated the following parameters: short-term complications, clinical outcomes and long-term follow-up, pain relief recurrence rate, and fertility outcomes.Results: Extensive ureterolysis was required in 8 women (80%). Ovarian cystectomy with removal of the cystic wall was performed in 7 women (70%). Torus resection was performed in all women, with unilateral and bilateral uterosacral ligament resection in 1 woman (10%) and 8 women (80%), respectively. in addition to segmental colorectal resection in all cases, partial vaginal resection was necessary in 2 women (20%). An appendectomy was performed in 2 patients (20%). the mean operative time with the robot was 157 minutes (range, 90-190 minutes). the mean hospital stay was 3 days. Six patients had infertility before surgery, with a mean infertility time of 2 years. After a 12-month follow-up period, 4 women (67%) conceived naturally and 2 (33%) underwent in vitro fertilization.Conclusion: We show that robotic-assisted laparoscopic surgery for the treatment of deep infiltrating bowel endometriosis is feasible, effective, and safe.
Palavra-chave Endometriosis
Rectum
Robotics
Segmental resection
Bowel endometriosis
Idioma Inglês
Data de publicação 2013-04-01
Publicado em Jsls-Journal of the Society of Laparoendoscopic Surgeons. Miami: Soc Laparoendoscopic Surgeons, v. 17, n. 2, p. 227-234, 2013.
ISSN 1086-8089 (Sherpa/Romeo, fator de impacto)
Publicador Soc Laparoendoscopic Surgeons
Extensão 227-234
Fonte http://dx.doi.org/10.4293/108680813X13693422521836
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000323045800010
Endereço permanente http://repositorio.unifesp.br/handle/11600/36131

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