Observational studyWorld journal of gastroenterology2015
Colorectal resection in deep pelvic endometriosis: Surgical technique and post-operative complications.
Observational study in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Gastrointestinal function outcomes following radical and conservative colorectal surgery for deep endometriosis: A systematic review and meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2025Pooled it
- 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
- Evaluation of Bowel Function of Women with Colorectal Endometriosis: a Cross-Sectional Study.Reproductive sciences (Thousand Oaks, Calif.) · 2023Article
- Could Stoma Be Avoided after Laparoscopic Low Anterior Resection for Rectal Cancer? Experience with Transanal Tube in 195 Cases.Journal of clinical medicine · 2022Article
- The Role of Robotic Visceral Surgery in Patients with Adhesions: A Systematic Review and Meta-Analysis.Journal of personalized medicine · 2022Review
- The Role of Indocyanine Near-Infrared Fluorescence in Colorectal Surgery.Frontiers in surgery · 2022Article
- Is robotic right colectomy economically sustainable? a multicentre retrospective comparative study and cost analysis.Surgical endoscopy · 2020Article
- Does a 3D laparoscopic approach improve surgical outcome of mininvasive right colectomy? A retrospective case-control study.Updates in surgery · 2020Article
- Barbed Suture and Gastrointestinal Surgery. A Retrospective Analysis.Open medicine (Warsaw, Poland) · 2019Article
- Rectovaginal fistula following surgery for deep infiltrating endometriosis: Does lesion size matter?The Journal of international medical research · 2018Article
- A New Strategy for a High Tumour Burden Region: The Campania Oncological Network.Translational medicine @ UniSaArticle
Corrections and comments
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo investigate the impact of different surgical techniques on post-operative complications after colorectal resection for endometriosis.
methodsA multicenter case-controlled study using the prospectively collected data of 90 women (22 with and 68 without post-operative complications) who underwent laparoscopic colorectal resection for endometriosis was designed to evaluate any risk factors of post-operative complications. The prospectively collected data included: gender, age, body mass index, American Society of Anesthesiologists risk class, endometriosis localization (from anal verge), operative time, conversion, intraoperative complications, and post-operative surgical complications such as anastomotic dehiscence, bleeding, infection, and bowel dysfunction.
resultsA similar number of complicated cases have been registered for the different surgical techniques evaluated (laparoscopy, single access, flexure mobilization, mesenteric artery ligation, and transvaginal specimen extraction). A multivariate regression analysis showed that, after adjusting for major clinical, demographic, and surgical characteristics, complicated cases were only associated with endometriosis localization from the anal verge (OR = 0.8, 95%CI: 0.74-0.98, P = 0.03). After analyzing the association of post-operative complications and each different surgical technique, we found that only bowel dysfunction after surgery was associated with mesenteric artery ligation (11 out of 44 dysfunctions in the mesenteric artery ligation group vs 2 out of 36 cases in the no mesenteric artery ligation group; P = 0.03).
conclusionAlthough further randomized clinical trials are needed to give a definitive conclusion, laparoscopic colorectal resection for deep infiltrating endometriosis appears to be both feasible and safe. Surgical technique cannot be considered a risk factor of post-operative complications.
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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.