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Comparison of robotic versus conventional laparoscopy for the treatment of colorectal endometriosis: Pilot study of an expert center.
- Source :
-
Journal of gynecology obstetrics and human reproduction [J Gynecol Obstet Hum Reprod] 2020 Jul 29, pp. 101885. Date of Electronic Publication: 2020 Jul 29. - Publication Year :
- 2020
- Publisher :
- Ahead of Print
-
Abstract
- Introduction: Surgical management of deep endometriosis with colorectal involvement remains an option after failure of medical treatments. Conventional laparoscopy is currently considered the standard approach for surgical treatment. Recently, assisted-robotic laparoscopy emerged as an alternative to conventional laparoscopy but with low evidence.<br />Methods: From March 2019 to September 2019, we conducted a prospective cohort study of 48 patients undergoing a surgical treatment for colorectal endometriosis (rectal shaving, discoid excision or segmental resection). The interventions were either performed by robotic or conventional laparoscopy. Patients' characteristics, operative and post-operative data were compared between the robotic and the conventional laparoscopic group.<br />Results: 48 patients were included, 25 in the conventional laparoscopy group and 23 in the robotic group. Patients' characteristics and operative findings were similar between the two groups, except for a trend in a higher incidence of associated surgical urinary or digestive procedures in the robotic group (p = 0.06). The mean total surgical room occupancy time and operating time were longer in the in the robotic group (281 ± 97 min vs 208 ± 85 min; p = 0.008) and (221 ± 94 min vs 163 ± 83 min (p = 0.03), respectively. The mean intra operative blood loss, the incidence of intra operative, post-operative complication (according to Clavien-Dindo classification) rates and voiding dysfunction were similar in the two groups. The rate of grade III complication was higher in the robotic group (13 % vs 0%) without reaching a significance (p = 0.17). The mean hospital stay was 8 ± 4.4 days in the robotic group and 6.5 ± 2.6 days in the conventional laparoscopy group (p = 0.18).<br />Conclusion: Despite our initial experience in robotic surgery, our results support that robotic surgery is an adequate alternative to conventional laparoscopy for endometriosis colorectal resection.<br /> (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 2468-7847
- Database :
- MEDLINE
- Journal :
- Journal of gynecology obstetrics and human reproduction
- Publication Type :
- Academic Journal
- Accession number :
- 32738498
- Full Text :
- https://doi.org/10.1016/j.jogoh.2020.101885