Related Experiment Video
Updated: Jul 8, 2026
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
A new laparoscopic-transvaginal technique for rectosigmoid resection in patients with endometriosis
Fabio Ghezzi1, Antonella Cromi, Giuseppe Ciravolo
1Department of Obstetrics and Gynecology, University of Insubria, Del Ponte Hospital, Varese, Italy. fabio.ghezzi@uninsubria.it
Objective:
To present our experience with a new technique for laparoscopic rectosigmoid resection in patients with endometriosis.
Design:
Prospective collaborative cohort study.
Setting:
Gynecologic departments of two university hospitals.
Patient(S):
Thirty-three women with rectosigmoid endometriotic lesions requiring segmental bowel resection.
Intervention(S):
Laparoscopic intracorporeal division of the distal bowel and exteriorization of the affected segment via a colpotomy incision to complete the resection.
Main Outcome Measure(S):
Intraoperative and postoperative complications, and relief from symptoms.
Result(S):
The only intraoperative complication was bleeding from the inferior mesenteric artery that required conversion to laparotomy to obtain hemostasis. No patient required a temporary colostomy. No anastomotic complications were identified. Postoperative complications included a symptomatic pelvic seroma that required operative drainage in 1 patient and urinary retention that required intermittent self-catheterization in 3 women. The median follow-up duration was 13 months (range, 3-27 mo). Twenty-seven women were symptom free at the time of last follow-up evaluation. No patient had recurrent cyclic rectal bleeding, rectal pain on defecation, or tenesmus. Postoperatively, 4 of 13 patients who tried to conceive were successful.
Conclusion(S):
Segmental colorectal resection with a combined laparoscopic-transvaginal approach, avoiding the extension of port-site incisions, represents a viable option for the treatment of bowel endometriosis.
