Related Experiment Video
Updated: May 9, 2025
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
Totally intracorporeal colorectal anastomosis (TICA) after segmental colorectal resection for deep endometriosis:
Francesco Santullo1, Alessandra De Cicco Nardone2, Miriam Attalla El Halabieh3
1Surgical Unit of Peritoneum and Retroperitoneum, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Largo Agostino Gemelli 8, 00168, Rome, Italy.
Purpose:
The aim of this study was to evaluate the safety and feasibility of totally intracorporeal colorectal anastomosis (TICA) in patients undergoing colorectal resection for the treatment of deep endometriosis (DE) affecting the bowel.
Methods:
Between January 2021 and August 2024, 33 consecutive patients with DE treated with segmental colorectal resection were enrolled. In 30 patients, TICA was performed. Demographic, operative, and postoperative data were collected retrospectively.
Results:
The mean distance between the endometriotic nodule and the anal verge was 11.5 (7-18) cm. The mean operative time was 282.83 (190-512) minutes. No major intraoperative complications occurred. Three (10%) patients developed a minor (Clavien‒Dindo grade I/II) postoperative complication.
Conclusion:
TICA is a safe and feasible technique and represents a valid alternative reconstruction method after colorectal resection for DE.
