A review of deep infiltrative colorectal endometriosis treated robotically at a single institution

Purpose/background Using robotic surgery, we report successful resection of deep invasive pelvic endometriosis with a multidisciplinary team of colorectal and gynecologic surgeons. Methods/interventions Fifteen cases of robotic‐assisted endometrial resections for deep invasive endometriosis were per...

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Bibliographic Details
Published in:The international journal of medical robotics + computer assisted surgery 2019-08, Vol.15 (4), p.e2001-n/a
Main Authors: Graham, Ada, Chen, Sheena, Skancke, Matthew, Moawad, Gaby, Obias, Vincent
Format: Article
Language:English
Subjects:
Adult
Colon - surgery
Drainage
Endometriosis
Endometriosis - surgery
Female
Humans
Interdisciplinary Communication
Laparoscopy
Laparotomy
Patient Care Team
pelvic
Postoperative Complications
Rectovaginal Fistula - surgery
Rectum - surgery
Reoperation
Retrospective Studies
robotic
Robotic surgery
Robotic Surgical Procedures - methods
Treatment Outcome
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Summary:Purpose/background Using robotic surgery, we report successful resection of deep invasive pelvic endometriosis with a multidisciplinary team of colorectal and gynecologic surgeons. Methods/interventions Fifteen cases of robotic‐assisted endometrial resections for deep invasive endometriosis were performed by a multidisciplinary team between 2013 and 2016. Results/outcomes The average total operative time of robotic endometrial extirpation was 342 minutes, and the average blood loss was 283 cc. There were no intraoperative complications and no conversion to laparotomy. Postoperative complications, including one superficial wound infection, four patients with pelvic abscesses, a bowel leak, and one rectovaginal fistula, occurred in five of 15 patients, three of which required percutaneous drainage and one required reoperation. All patients who followed up after surgery showed 100% dysmenorrhea resolution at one month (13 of 15 patients). Conclusion/discussion Deep infiltrating endometriosis is a complex disease associated with significant morbidity and requires highly trained, multidisciplinary team approach for safe and efficient excision.
ISSN:1478-5951
1478-596X
DOI:10.1002/rcs.2001