ArticleSurgical endoscopy2018
Impact of hospital and surgeon case volume on morbidity in colorectal endometriosis management: a plea to define criteria for expert centers.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Different segmental resection techniques and postoperative complications in patients with colorectal endometriosis: A systematic review.Acta obstetricia et gynecologica Scandinavica · 2022Pooled it
- High postoperative fertility rate following surgical management of colorectal endometriosis.Human reproduction (Oxford, England) · 2018Trial
- Robotic hysterectomy and hospital performance: nationwide evidence on outcomes, efficiency, and costs in France (2020 to 2024).Journal of robotic surgery · 2026Article
- Effects of centralized multidisciplinary surgical endometriosis care: a retrospective 3-year follow-up cohort study.BMC women's health · 2026Article
- Adoption of robot-assisted surgery for hysterectomy in France: a nationwide analysis of surgical routes and length of hospital stay (2020-2024).Journal of robotic surgery · 2026Article
- Bowel surgery for endometriosis-associated infertility: navigating amidst the certainty of the uncertainty.Facts, views & vision in ObGyn · 2025Article
- Do we need a preventive stoma in surgery for colorectal endometriosis? A retrospective series of 97 patients treated at an expert centre.Facts, views & vision in ObGyn · 2025Article
- Concordance between Preoperative #ENZIANi Score and Postoperative #ENZIANs Score Classification-Why Do We Choose #ENZIAN and How Does It Impact the Future Classification Trend?Journal of clinical medicine · 2024Article
- Opportunities for change and levelling up: a trust wide retrospective analysis of 8 years of laparoscopic and abdominal myomectomy.Facts, views & vision in ObGyn · 2024Article
- Non-invasive imaging techniques for diagnosis of pelvic deep endometriosis and endometriosis classification systems: an International Consensus Statement†,‡.Facts, views & vision in ObGyn · 2024Article
- Robotic surgery for bowel endometriosis: a multidisciplinary management of a complex entity.Techniques in coloproctology · 2024Article
- Non-invasive imaging techniques for diagnosis of pelvic deep endometriosis and endometriosis classification systems: an International Consensus StatementHuman reproduction open · 2024Article
- INTESTINAL ENDOMETRIOSIS: OUTCOMES FROM A MULTIDISCIPLINARY SPECIALIZED REFERRAL CENTER.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024Article
- Clinical outcomes following surgical management of deep infiltrating endometriosis.Scientific reports · 2022Article
- Rates of severe complications in patients undergoing colorectal surgery for deep endometriosis-a retrospective multicenter observational study.Acta obstetricia et gynecologica Scandinavica · 2022Observational
- Endometriosis centers of expertise in the Netherlands: Development toward regional networks of multidisciplinary care.Health science reports · 2022Article
- Bowel anastomosis leakage following endometriosis surgery: an evidence based analysis of risk factors and prevention techniques.Facts, views & vision in ObGyn · 2020Review
- Postoperative Pregnancy Outcomes Following Laparoscopic Surgical Management in Women with Stage III/IV Endometriosis: A Single-Center Follow-Up Study.Gynecology and minimally invasive therapyArticle
- Surgical Treatment Experience of Intestinal Endometriosis.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
National and international guidelines recommend referring patients with severe forms of endometriosis to expert centers. However, there is a lack of clear criteria to define an expert center. We examined the roles of surgeon and hospital procedure volumes as determinants of morbidity in deep infiltrating endometriosis of the rectum and sigmoid colon (DIERS).
methodsWe conducted a French retrospective multicenter study of hospital facilities performing colorectal surgery for DIERS in 2015. The primary end point was to analyze the relation between case volume and the incidence of complications. We estimated the optimal cut-off (OCO) determined by a minimal p-value approach.
resultsThe study included 56 hospital facilities and collected data of 1135 cases of surgical management of colorectal endometriosis. The mean and median number of procedures per year and per surgeon were 9.17 and 5.58, respectively. The overall rate of grade III-V complication was 7.6% (82/1135). One grade V complication occurred. The rates of rectovaginal fistula, anastomotic leakage, pelvic abscess, and ureteral fistula were: 2.7% (31/1135), 0.79% (9/1135), 3.4% (39/1135), and 0.70% (8/1135), respectively. An OCO of 20 procedures per center and per year (p < 0.001) was defined. The OCO per surgeon and per year varied between seven (p = 0.007) and 13 procedures (p = 0.03). In a multivariate analysis, we found that only the volume of activity was independently correlated to complication outcomes (p = 0.0013).
conclusionOur results contribute to providing objective morbidity data to determine criteria for defining expert centers for colorectal surgery for endometriosis.
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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.