Colorectal resection in deep pelvic endometriosis: Surgical technique and post-operative complications
Colorectal resection in deep pelvic endometriosis: Surgical technique and post-operative complications作者机构：Department of Advanced Biomedical Science University of Naples "Federico Ⅱ" Department of Gastrointestinal Surgery San Raffaele Scientific Institute University Vita Salute General and Mini-invasive Surgery "San Camillo" Hospital
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2015年第21卷第47期
页 面：13345-13351页
核心收录：
学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 100214[医学-肿瘤学] 10[医学]
主 题：Endometriosis Bowel Complication Technique Laparoscopy Mesenteric artery
摘 要：AIM: To investigate the impact of different surgical techniques on post-operative complications after colorectal resection for ***: A multicenter case-controlled study using the prospectively collected data of 90 women(22 with and 68 without post-operative complications) who underwent laparoscopic colorectal resection for endometriosis was designed to evaluate any risk factors of post-operative complications. The prospectively collected data included: gender, age, body mass index, American Society of Anesthesiologists risk class, endometriosis localization(from anal verge), operative time, conversion, intraoperative complications, and post-operative surgical complications such as anastomotic dehiscence, bleeding, infection, and bowel ***: A similar number of complicated cases have been registered for the different surgical techniques evaluated(laparoscopy, single access, flexure mobilization, mesenteric artery ligation, and transvaginal specimen extraction). A multivariate regression analysis showed that, after adjusting for major clinical, demographic, and surgical characteristics, complicated cases were only associated withendometriosis localization from the anal verge(OR = 0.8, 95%CI: 0.74-0.98, P = 0.03). After analyzing the association of post-operative complications and each different surgical technique, we found that only bowel dysfunction after surgery was associated with mesenteric artery ligation(11 out of 44 dysfunctions in the mesenteric artery ligation group vs 2 out of 36 cases in the no mesenteric artery ligation group; P = 0.03).CONCLUSION: Although further randomized clinical trials are needed to give a definitive conclusion, laparoscopic colorectal resection for deep infiltrating endometriosis appears to be both feasible and safe. Surgical technique cannot be considered a risk factor of post-operative complications.
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