Laparoscopic colorectal resection for deep infiltrating endometriosis: analysis of 436 cases.
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.
Ruffo
Giacomo
G
Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Verona, Italy.
Scopelliti
Filippo
F
Scioscia
Marco
M
Ceccaroni
Marcello
M
Mainardi
Paride
P
Minelli
Luca
L
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