The results of colorectal resection for bowel deep infiltrating endometriosis

To study the early postoperative outcomes of segmental bowel resections in patients with colorectal endometriosis. A retrospective study included 60 patients diagnosed with deep infiltrative endometriosis who underwent surgical treatment with segmental bowel resection between 2016 and 2022. All surg...

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Bibliographic Details
Published in:	Hirurgija (Moskva) no. 12. Vyp. 2; p. 54
Main Authors:	Goncharov, A L, Chicherina, M A, Chernyshenko, T A, Levshin, F A, Nenakhov, F V, Kabeshov, A M, Zhakiyev, N S, Gallyamov, E A
Format:	Journal Article
Language:	English Russian
Published:	Russia (Federation) 2022
Subjects:	Colorectal Neoplasms - surgery Digestive System Surgical Procedures - methods Endometriosis - diagnosis Endometriosis - surgery Female Humans Laparoscopy - adverse effects Laparoscopy - methods Postoperative Complications - diagnosis Postoperative Complications - epidemiology Postoperative Complications - etiology Rectal Diseases - complications Rectal Diseases - diagnosis Rectal Diseases - surgery Retrospective Studies Treatment Outcome laparoscopy endometriosis bowel resection deep infiltrating endometriosis
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Summary:	To study the early postoperative outcomes of segmental bowel resections in patients with colorectal endometriosis. A retrospective study included 60 patients diagnosed with deep infiltrative endometriosis who underwent surgical treatment with segmental bowel resection between 2016 and 2022. All surgeries performed by two teams (gynecologic & colorectal). 59 operations were performed by laparoscopic access and one open. The average operation time was 263.5±86.0 min, estimated blood loss 126.1 ml (10-400 ml). There were no intraoperative complications. There were no conversions during laparoscopic surgery. A protective stoma was not required in any patient. The median postoperative hospital stay was 7.5±4.2 days. Bowel function was restored by an average of 4.3±3.1 days. Postoperative complications were in 7 cases (11.6%). Anastomotic leakage occurred in one patient (1.6%). The incidence of urine retention requiring repeated bladder catheterization was 2 (3.3%). The use of a minimally invasive multidisciplinary approach makes it possible to perform the required volume of surgery with excision of all tissues affected by endometriosis with a low level of complications and the absence of conversions.
ISSN:	0023-1207
DOI:	10.17116/hirurgia202212254