title: Robot-assisted laparoscopy for deep infiltrating endometriosis: international multicentric retrospective study.
abstract: BACKGROUND
  This study aimed to assess the interest in robot-assisted laparoscopy for deep infiltrating endometriosis and to investigate the perioperative results.
  
  
  METHODS
  From November 2008 to April 2012, 164 women with stage 4 endometriosis who underwent robot-assisted laparoscopy (da Vinci Intuitive Surgical System) were included by to eight international participating clinical centers. This study evaluated the procedures performed, the duration of the intervention, the complications, the recurrence, and the impact on fertility.
  
  
  RESULTS
  The average operative time was 180 min. The main complications were laparotomy (n = 1, 0.6%), sutured bowel injury (n = 2, 1.2%), transfusion for a 2,300-ml bleed (n = 1), prolonged urinary catheterization (n = 1, 0.6%), ureter-bladder anastomotic leak (n = 1, 0.6%), and ureteral fistula after ureterolysis (n = 2, 1.2%). The reoperation rate was 1.8% (n = 3). The mean follow-up period was 10.2 months. A full recovery was experienced by 86.7% (98/113) of the patients. After surgery, 41.2% (42/102) of the patients had a desire for pregnancy, and 28.2% (11/39) of them became pregnant.
  
  
  CONCLUSIONS
  This study analyzed the largest series of robot-assisted laparoscopies for deep infiltrating endometriosis published in the literature. No increase in surgical time, blood loss, or intra- or postoperative complications was observed. The interest in robot-assisted laparoscopy for deep infiltrating endometriosis seems to be promising.
authors.affiliation: Maternity ward, Hôpital Jeanne de Flandre, Centre Hospitalier Régional Universitaire de Lille (CHRU of Lille), 2 Avenue Eugène Avinée, 59037, Lille Cedex, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Collinet
authors.forename: Pierre
authors.initials: P
authors.lastname: Leguevaque
authors.forename: Rosa Maria
authors.initials: RM
authors.lastname: Neme
authors.forename: Vito
authors.initials: V
authors.lastname: Cela
authors.forename: Peter
authors.initials: P
authors.lastname: Barton-Smith
authors.forename: Thomas
authors.initials: T
authors.lastname: Hébert
authors.forename: Sandy
authors.initials: S
authors.lastname: Hanssens
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Nishi
authors.forename: Michelle
authors.initials: M
authors.lastname: Nisolle
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000145:classification / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications; D011247:Pregnancy; D018873:Pregnancy Rate; D012002:Rectal Diseases / Q000601:surgery; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures; D014515:Ureteral Diseases / Q000601:surgery; D001745:Urinary Bladder Diseases / Q000601:surgery; D055815:Young Adult