ArticleSurgical endoscopy2012
Laparoscopic rectal resection for severe endometriosis of the mid and low rectum: technique and operative results.
Article in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Different segmental resection techniques and postoperative complications in patients with colorectal endometriosis: A systematic review.Acta obstetricia et gynecologica Scandinavica · 2022Pooled it
- Outcomes after rectosigmoid resection for endometriosis: a systematic literature review.International journal of colorectal disease · 2018Pooled it
- Preservation of the inferior mesenteric artery in laparoscopic nerve-sparing colorectal surgery for endometriosis.Scientific reports · 2022Trial
- Mesentery-Preserving Hand-Sewn Anastomosis for Rectal Endometriosis: A Nerve-Sparing Laparoscopic Technique.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Observational
- Improved Outcomes with Nerve-Sparing Technique: A Retrospective Comparison of Colorectal Surgeries for Bowel Endometriosis.International journal of women's health · 2026Article
- Comprehensive Management of Bowel Endometriosis: Surgical Techniques, Outcomes, and Best Practices.Journal of clinical medicine · 2025Review
- Intra-operative and post-operative complications of endometriosis excision using the SOSURE approach - A single- surgeon retrospective series of 1116 procedures over 8 years.Facts, views & vision in ObGyn · 2024Article
- Robotic surgery for deep-infiltrating endometriosis: is it time to take a step forward?Frontiers in medicine · 2024Review
- The impact of laparoscopic gynecological surgery training on the technicity index of a developing country center.Acta cirurgica brasileira · 2023Article
- Bowel anastomosis leakage following endometriosis surgery: an evidence based analysis of risk factors and prevention techniques.Facts, views & vision in ObGyn · 2020Review
- Impact of hospital and surgeon case volume on morbidity in colorectal endometriosis management: a plea to define criteria for expert centers.Surgical endoscopy · 2018Article
- Rectovaginal fistula following surgery for deep infiltrating endometriosis: Does lesion size matter?The Journal of international medical research · 2018Article
- Advantages of the robotic approach to deep infiltrating rectal endometriosis: because less is more.Journal of robotic surgery · 2016Article
- Colorectal resection in deep pelvic endometriosis: Surgical technique and post-operative complications.World journal of gastroenterology · 2015Observational
- Laparoscopic treatment of deep infiltrating endometriosis: results of the combined laparoscopic gynecologic and colorectal surgery.Surgical endoscopy · 2015Article
- Endometriosis with an acute colon obstruction: a case report.Journal of medical case reports · 2015Article
- Management of rectosigmoid obstruction due to severe bowel endometriosis.Updates in surgery · 2014Article
- Surgical Therapy of Endometriosis: Challenges and Controversies.Geburtshilfe und Frauenheilkunde · 2013Article
- Deeply infiltrating endometriosis of the rectum: shave, disc or segmental excision?Surgical endoscopy · 2013Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough several studies have shown that laparoscopic resection is safe and feasible in bowel endometriosis, limited data are available on the specific treatment for endometriosis of the rectum. The aim of this study is to describe operative and postoperative outcomes after laparoscopic resection of the mid/low rectum for endometriosis.
methodsBetween 2002 and 2010, 750 patients (median age 33 years) underwent laparoscopic resection of the mid/low rectum for deep infiltrating endometriosis at a single institution. All operations were performed with a standardized technique by a single surgeon.
resultsMedian operative time was 255 min, and median blood loss 150 ml. Of patients, 7% required blood transfusions. Laparotomic conversion rate was 1.6%. Mechanical low and very low colorectal anastomoses were carried out in 92.5 and 7.5% of patients, respectively. Temporary ileostomy rate was 14.5%. Median length of stay was 8 days. Overall surgical morbidity was 9% with no mortality. Rates of anastomotic leak, rectovaginal fistula, and intraabdominal bleeding were 3, 2, and 1.2%. Forty patients (5.5%) required reoperation.
conclusionsLaparoscopic resection of the mid/low rectum for endometriosis can be performed safely with acceptable rates of morbidity/reoperation and with low rates of specific complications, including anastomotic leak and rectovaginal fistula. The very high surgical volume of the operating surgeon is probably one of the most important factors in order to maximize postoperative outcomes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.