Bowel resection for intestinal endometriosis

被引:13
|
作者
Ferrero, Simone [1 ,2 ]
Stabilini, Cesare [3 ,4 ]
Barra, Fabio [1 ,2 ]
Clarizia, Roberto [5 ]
Roviglione, Giovanni [5 ]
Ceccaroni, Marcello [5 ]
机构
[1] IRCCS Osped Policlin San Martino, Acad Unit Obstet & Gynecol, Largo R Benzi 10, I-16132 Genoa, Italy
[2] Univ Genoa, Dept Neurosci Rehabil Ophthalmol Genet Maternal &, Genetics, Italy
[3] IRCCS Osped Policlin San Martino, Dept Surg Sci, Largo R Benzi 10, I-16132 Genoa, Italy
[4] Univ Genoa, Dept Surg Sci & Integrated Diagnost Disc, Genoa, Italy
[5] IRCCS Sacro Cuore Don Calabria Hosp, Dept Obstet & Gynecol Gynecol Oncol & Minimally I, Int Sch Surg Anat, Via Don A Sempreboni 5, I-37024 Verona, Italy
关键词
Bowel endometriosis; Colorectal resection; Complications; Rectosigmoid endometriosis; Recurrence; Surgery;
D O I
10.1016/j.bpobgyn.2020.05.008
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Over the last twenty years, segmental resection (SR) has been the technique most frequently used to treat bowel endometriosis. Nowadays, it is most commonly performed by laparoscopy; however, there is evidence that it can be safely performed by robotic-assisted laparoscopic surgery. Rectovaginal fistula and anastomotic leakage are the two major complications of SR; other complications include pelvic abscess, postoperative bleeding, ureteral damage, and anastomotic stricture. Several studies showed that SR causes improvement in pain and intestinal symptoms; nerve-sparing SR may improve the functional outcomes. The rates of postoperative recurrence of bowel endometriosis vary across the studies, possibly because of the different definitions of recurrence. (C) 2021 Elsevier Ltd. All rights reserved.
引用
收藏
页码:114 / 128
页数:15
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