title: [Robotic-assisted laparoscopy for deep infiltrating endometriosis: the Register of the Society of European Robotic Gynaecological Surgery].
abstract: OBJECTIVE
  To assess the interest of robotic-assisted laparoscopy in the context of deep infiltrating endometriosis and to investigate perioperative results.
  
  
  METHODS
  From November 2008 to April 2012, 164 women with stage IV endometriosis who underwent robotic-assisted laparoscopy (DA VINCI Intuitive Surgical System(®)) were included by eight international participating clinical centers. Patients were divided in 4 groups according to the localization of the nodule(s): rectum (n=88), bladder (n=23), ureter and uterosacral ligaments (n=115) et hysterectomy (n=28). We evaluated the procedures performed, the duration of intervention, the complications, the recurrence and the impact on fertility.
  
  
  RESULTS
  In the rectum group, there was a laparotomy conversion, 2 sutured rectal injuries and a red cells blood transfusion. In the bladder group, there was a vesicovaginal hematoma and a prolongated intermittent self-catheterization. In the ureter and uterosacral ligaments group, there was 2 ureteral fistulas and there was no complication in the hysterectomy group.
  
  
  CONCLUSIONS
  This study is the largest series published in the literature on robotic-assisted laparoscopy for deep infiltrating endometriosis. The interest of robotic-assisted laparoscopy in deep infiltrating endometriosis seems to be promising while no increase in surgical time, blood loss, and intra- and postoperative complications were observed.
authors.affiliation: Maternité et hôpital Jeanne-de-Flandre, centre hospitalier régional universitaire de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France. Electronic address: sandyhg@free.fr.
authors.forename: S
authors.initials: S
authors.lastname: Hanssens
authors.affiliation: Service de gynécologie-obstétrique, université de Liège, CHR de la Citadelle, 1, boulevard du 12(e)-de-Ligne, 4000 Liège, Belgique.
authors.forename: M
authors.initials: M
authors.lastname: Nisolle
authors.affiliation: Service de gynécologie, hôpital Rangueil, 1, avenue J.-Pouilhès, 31059 Toulouse cedex 09, France.
authors.forename: P
authors.initials: P
authors.lastname: Leguevaque
authors.affiliation: Centro d'endometriose São Paulo, avenida República do Líbano, 460, São Paulo, Brazil.
authors.forename: R M
authors.initials: RM
authors.lastname: Neme
authors.affiliation: Department of reproductive medicine and child development, division of obstetrics and gynecology, university of Pisa, via Roma 67, 56126 Pisa, Italie.
authors.forename: V
authors.initials: V
authors.lastname: Cela
authors.affiliation: Department of gynaecological oncology, St. George's Hospital, Blackshaw road, London SW17 0QT, Royaume-Uni.
authors.forename: P
authors.initials: P
authors.lastname: Barton-Smith
authors.affiliation: Service de gynécologie, CHU Bretonneau, 37044 Tours cedex 01, France.
authors.forename: T
authors.initials: T
authors.lastname: Hébert
authors.affiliation: Maternité et hôpital Jeanne-de-Flandre, centre hospitalier régional universitaire de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Collinet
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005060:Europe; D005260:Female; D005298:Fertility; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012008:Recurrence; D065287:Robotic Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome
keywords: Cœlioscopie robot-assistée; Da Vinci(®) system; Deep infiltrating endometriosis; Endométriose pelvienne profonde; Robotic-assisted laparoscopy; Système Da Vinci(®)