“A Space Odyssey” on Laparoscopic Segmental Rectosigmoid Resection for Deep Endometriosis: A Seventeen-year Retrospective Analysis of Outcomes and Postoperative Complications among 3050 Patients Treated in a Referral Center

Ceccaroni, Marcello; Ceccarello, Matteo; Raimondo, Ivano; Roviglione, Giovanni; Clarizia, Roberto; Bruni, Francesco; Mautone, Daniele; Manzone, M; Facci, E; Rettore, Lorenzo; Rossini, Roberto; Bertocchi, Elisa; Barugola, Giuliano; Ruffo, Giacomo; Barra, Fabio

doi:10.1016/j.jmig.2023.04.005

Journal of Minimally Invasive Gynecology

2023

DOI: 10.1016/j.jmig.2023.04.005

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“A Space Odyssey” on Laparoscopic Segmental Rectosigmoid Resection for Deep Endometriosis: A Seventeen-year Retrospective Analysis of Outcomes and Postoperative Complications among 3050 Patients Treated in a Referral Center

Marcello Ceccaroni¹,

Matteo Ceccarello²,

Ivano Raimondo³

et al.

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2024

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Cited by 14 publications

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Low rectal resection for low rectal endometriosis and rectal adenocarcinoma: Are we discussing the same risks?

Volodarsky‐Perel,

Roman,

Francois

et al. 2024

Intl J Gynecology & Obste

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ObjectiveTo evaluate the rate and risk factors for anastomosis leakage in patients undergoing colorectal resection with low anastomosis for rectal endometriosis and rectal adenocarcinoma.MethodsA retrospective cohort study evaluating prospectively collected data was conducted. Patients undergoing colorectal resection for rectal endometriosis and rectal adenocarcinoma with low anastomosis (<7 cm from the anal verge [AV]) from September 2018 to January 2023 were included in the analysis. The main outcome was the rate of anastomosis leakage. A multivariate logistic regression was conducted to evaluate risk factors for anastomosis leakage in both groups.ResultsA total of 159 patients underwent colorectal resection with low anastomosis due to rectal endometriosis (n = 99) and rectal adenocarcinoma (n = 60). Patients with endometriosis were significantly younger than those with adenocarcinoma (35.7 ± 5.1 vs 63.7 ± 12.6; P = 0.001). The leakage rate was similar between the endometriosis (n = 12, 12.1%) and adenocarcinoma (n = 9, 15.0%) patients (P = 0.621). The anastomosis height less than 5 cm from the AV (adjusted odds ratio [aOR] 12.12, 95% confidence interval [CI] 2.24–23.54) was significantly associated with the anastomosis leakage. Protective stoma was associated with the decrease of the leakage risk (aOR 0.12, 95% CI 0.01–0.72). The type of disease (rectal endometriosis or adenocarcinoma) was not associated with the anastomosis leakage (aOR 2.87, 95% CI 0.34–21.23).ConclusionsDespite the different pathogenesis, the risk of anastomotic leakage was found to be similar between patients with low rectal endometriosis and those with rectal adenocarcinoma. These results must be considered by the gynecologist and colorectal surgeon to deliver proper information before rectal surgery for endometriosis.

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Low rectal resection for low rectal endometriosis and rectal adenocarcinoma: Are we discussing the same risks?

Volodarsky‐Perel,

Roman,

Francois

et al. 2024

Intl J Gynecology & Obste

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Surgical strategies for treatment of endometriosis

Schmädecker,

Ulrich

2024

Gynäkologie

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Surgical strategies for treatment of endometriosis

Schmädecker,

Ulrich

2024

Wien klin Mag

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“A Space Odyssey” on Laparoscopic Segmental Rectosigmoid Resection for Deep Endometriosis: A Seventeen-year Retrospective Analysis of Outcomes and Postoperative Complications among 3050 Patients Treated in a Referral Center

Cited by 14 publications

References 34 publications

Low rectal resection for low rectal endometriosis and rectal adenocarcinoma: Are we discussing the same risks?

Low rectal resection for low rectal endometriosis and rectal adenocarcinoma: Are we discussing the same risks?

Surgical strategies for treatment of endometriosis

Surgical strategies for treatment of endometriosis

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