Laparoscopic colorectal resection for deep infiltrating endometriosis: analysis of 436 cases
Giacomo Ruffo1, Filippo Scopelliti, Marco Scioscia
1Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Verona, Italy.
Background:
Complete removal of all visible lesions is considered the adequate treatment of pelvic endometriosis in order to reduce recurrence. Laparoscopic colorectal resection of bowel endometriosis is still challenging. A large series is reported.
Methods:
A longitudinal evaluation of surgical and clinical complications of 436 cases of severe endometriosis with colorectal resection was carried out. All procedures were performed laparoscopically in a single center and short-term complications were surveyed.
Results:
The overall complication rate was 8.3% with need for laparoconversion in 3.2%. Sixty patients required blood transfusion (13.7%), and rectovaginal fistulae were the most frequent postoperative complication (3.2%).
Conclusion:
Laparoscopic colorectal resection for endometriosis is a relatively safe procedure in a context of close collaboration between gynecologists and surgeons, although it requires adequate training.
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