title: Laparoscopic colorectal resection for deep infiltrating endometriosis: analysis of 436 cases.
abstract: 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%).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Verona, Italy.
authors.forename: Giacomo
authors.initials: G
authors.lastname: Ruffo
authors.forename: Filippo
authors.initials: F
authors.lastname: Scopelliti
authors.forename: Marco
authors.initials: M
authors.lastname: Scioscia
authors.forename: Marcello
authors.initials: M
authors.lastname: Ceccaroni
authors.forename: Paride
authors.initials: P
authors.lastname: Mainardi
authors.forename: Luca
authors.initials: L
authors.lastname: Minelli
mesh_terms: D000328:Adult; D003082:Colectomy; D003108:Colonic Diseases / Q000601:surgery*; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D012002:Rectal Diseases / Q000601:surgery*; D012007:Rectum / Q000601:surgery