Deep Infiltrating Colorectal Endometriosis Treated With Robotic-Assisted Rectosigmoidectomy

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Arquivos
art_CHEN_Deep_Infiltrating_Colorectal_Endometriosis_Treated_With_Robotic_Assisted_2013.PDF (352.01 KB)
Citações na Scopus
39
Tipo de produção
article
Data de publicação
2013
Editora
SOC LAPAROENDOSCOPIC SURGEONS
DOI
Indexadores
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Autores
NEME, Rosa Maria
SCHRAIBMAN, Vladimir
OKAZAKI, Samuel
MACCAPANI, Gabriel
DOMIT, Cassia Danielle
KAUFMANN, Oskar Grau
ADVINCULA, Arnold P.
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, v.17, n.2, p.227-234, 2013
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background and Objective: Deep infiltrating pelvic endometriosis with bowel involvement is one of the most aggressive forms of endometriosis. Nowadays, robotic technology and telemanipulation systems represent the latest developments in minimally invasive surgery. The aim of this study is to present our preliminary results and evaluate the feasibility of robotic-assisted laparoscopic colorectal resection for severe endometriosis. Methods: Between September 2009 and December 2011, 10 women with colorectal endometriosis underwent surgery with the da Vinci robotic surgical system (Intuitive Surgical, Sunnyvale, CA, USA). We evaluated the following parameters: short-term complications, clinical outcomes and long-term follow-up, pain relief recurrence rate, and fertility outcomes. Results: Extensive ureterolysis was required in 8 women (80%). Ovarian cystectomy with removal of the cystic wall was performed in 7 women (70%). Torus resection was performed in all women, with unilateral and bilateral uterosacral ligament resection in 1 woman (10%) and 8 women (80%), respectively. In addition to segmental colorectal resection in all cases, partial vaginal resection was necessary in 2 women (20%). An appendectomy was performed in 2 patients (20%). The mean operative time with the robot was 157 minutes (range, 90-190 minutes). The mean hospital stay was 3 days. Six patients had infertility before surgery, with a mean infertility time of 2 years. After a 12-month follow-up period, 4 women (67%) conceived naturally and 2 (33%) underwent in vitro fertilization. Conclusion: We show that robotic-assisted laparoscopic surgery for the treatment of deep infiltrating bowel endometriosis is feasible, effective, and safe.
Palavras-chave
Endometriosis, Rectum, Robotics, Segmental resection
URI
https://observatorio.fm.usp.br/handle/OPI/4423
Referências
  1. Abbott JA, 2003, HUM REPROD, V18, P1922, DOI 10.1093/humrep/deg275
  2. Advincula AP, 2007, CURR OPIN OBSTET GYN, V19, P331, DOI 10.1097/GCO.0b013e328216f90b
  3. Anaf V, 2000, HUM REPROD, V15, P790, DOI 10.1093/humrep/15.4.790
  4. Azzena A., 1998, Clinical and Experimental Obstetrics and Gynecology, V25, P94
  5. BAILEY HR, 1994, DIS COLON RECTUM, V37, P747
  6. Chamie LP, 2010, RADIOGRAPHICS, V30, P1235, DOI 10.1148/rg.305095221
  7. Chapron C, 2003, Gynecol Obstet Fertil, V31, P197, DOI 10.1016/S1297-9589(03)00045-6
  8. Cho JE, 2010, REV LIT MINERVA GINE, V62, P137
  9. Cho JE, 2009, J MINIM INVAS GYN, V16, P669, DOI 10.1016/j.jmig.2009.06.024
  10. CORONADO C, 1990, FERTIL STERIL, V53, P411
  11. Darai E, 2005, FERTIL STERIL, V84, P945, DOI 10.1016/j.fertnstert.2005.04.037
  12. D'Hooghe T, 2006, HUM REPROD, V21, P2743, DOI 10.1093/humrep/del123
  13. Dubernard G, 2006, HUM REPROD, V21, P1243, DOI 10.1093/humrep/dei491
  14. Ferrero S, 2009, FERTIL STERIL, V92
  15. Fleisch MC, 2005, EUR J OBSTET GYNECOL, V123
  16. Holloway RW, 2009, SCAND J SURG, V98, P96
  17. Kumar D, 2004, EUR J GASTROEN HEPAT, V16, P1251, DOI 10.1097/00042737-200412000-00001
  18. Landi S, 2006, HUM REPROD, V21, P774, DOI 10.1093/humrep/dei324
  19. Liu C, 2008, J MINIM INVAS GYN, V15, P745, DOI 10.1016/j.jmig.2008.07.002
  20. Mohr Catherine, 2005, JSLS, V9, P16
  21. Nezhat Camran, 2006, JSLS, V10, P317
  22. Nezhat C, 2011, JSLS-J SOC LAPAROEND, V15, P387, DOI 10.4293/108680811X13125733356396
  23. NEZHAT C, 1994, SURG ENDOSC-ULTRAS, V8, P682, DOI 10.1007/BF00678566
  24. Nezhat C, 2010, FERTIL STERIL, V94, P2758, DOI 10.1016/j.fertnstert.2010.04.031
  25. Nezhat C, 2011, JSLS-J SOC LAPAROEND, V15, P431, DOI 10.4293/108680811X13176785203752
  26. Redwine DB, 2001, FERTIL STERIL, V76
  27. Remorgida V., 2005, Human Reproduction (Oxford), V20, P264
  28. Verspyck E, 1997, EUR J OBSTET GYN R B, V71, P81, DOI 10.1016/S0301-2115(96)02617-6
  29. WEED JC, 1987, OBSTET GYNECOL, V69, P727
  30. Weizman D A, 2003, Surg Endosc, V17, P1678, DOI 10.1007/s00464-002-4551-4

Coleções
Artigos e Materiais de Revistas Científicas - HC/ICHC