[Clinical efficacies of laparoscopic-assisted rectal resection and transvaginal removal for middle or low rectal endometriosis].
OBJECTIVE
To explore the efficacies and safety of laparoscopic-assisted rectal resection and transvaginal removal for middle or low rectal endometriosis.


METHODS
A total of 48 patients with middle or low rectal endometriosis undergoing laparoscopic-assisted transvaginal resection from May 2010 to December 2012 at First Affiliated Hospital, Sun Yat-sen University were enrolled. Postoperative short and long-term complications and clinical efficacies were retrospectively analyzed.


RESULTS
All cases underwent laparoscopic-assisted transvaginal rectal resection successfully.Neither conversion into laparotomy nor preventive colostomy was needed. Their average age was 34.4 (22-43) years. The locations were above peritoneal reflection (n = 19) and below (n = 29). The incidence of anastomotic leakage was 2.1% (n = 1). The mean operative duration was 78 (62-180) min and the length of hospital stay 7.5 days. Compared with preoperative period, their postoperative digestive and gynecological symptoms improved significantly (intestinal bleeding 0 vs 18 (37.5%), dysmenorrhea 1 (2.1%) vs 48(100.0%) all P < 0.05). However, there was no change of constipation symptoms (6(12.5%) vs 5(10.4%), P > 0.05).


CONCLUSIONS
Laparoscopic-assisted transvaginal resection for middle or low rectal endometriosis was efficacious, safe and worth popularizing.
Department of Gastrointestinal Surgery, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China.
Wu
W
Song
Department of Gynecology, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China. Email: yaoshuzhong@mail.sysu.edu.cn.
Shuzhong
S
Yao
Shuqin
S
Chen
Fanghai
F
Han
Yulong
Y
He
D000328:Adult; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*; D055815:Young Adult