Étude de faisabilité du traitement laparoscopique robot-assisté de lésions d’endométriose pelvienne profonde

Bot-Robin, V.; Rubod, Chrystèle; Zini, Luca; Collinet, Pierre

doi:10.1016/j.gyobfe.2011.05.002

Cited by 12 publications

(6 citation statements)

References 20 publications

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“…The total excision of endometriosis is recommended by all international health organisations [ 1 , 4 , 5 ]. Surprisingly, conservative treatment showed adequate results for the evolution of quality of life in our study for patients 2 years after surgery, which goes against current knowledge [ 1 , 19 , 20 ]. We performed rectal shaving in 20% of patients to avoid rectal resection, which is known to cause complications (rectovaginal fistula, anastomotic stenosis, voiding dysfunction) [ 5 , 8 ].…”

Section: Discussioncontrasting

confidence: 93%

“…A significant decrease in these symptoms is another point in favour of surgical management [ 8 ]. Mini-invasive surgery is a suitable option to relieve pain when medical and hormonal treatments are no longer efficient [ 19 , 20 ]. It also appeared that conservative surgery was as efficient as total surgery regarding QoL on a mid-term basis.…”

Section: Discussionmentioning

confidence: 99%

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Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis

Legendri

Carbonnel

Féki

et al. 2022

JCM

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This study addressed the improvement in the quality of life of patients 2 years after minimally invasive surgery for painful deep infiltrating endometriosis (DIE), evaluated with EHP-5 (Endometriosis Health Profile-5) scores and the intensity of dysmenorrhea and dyspareunia. This was a retrospective study, performed in a referral centre for endometriosis, between January 2010 and January 2019. EHP-5 scores were complete for 54 patients, and two subgroups were analysed: classic laparoscopy (CL) vs. robotic laparoscopy (RL), and conservative surgery (ConservS) vs. total surgery (TS). There was an important decrease in 2-year post-operative EHP-5 scores in the global population (pre-op: 61.36 (42.18–68.75) and 2-year post-op: 20.45 (0–38.06); p < 0.001). The Visual Analogic Scale (VAS) was also lower for dysmenorrhea (pre-op: 8 (7–9.75) vs. 2-year post-op: 3 (2–5.25); p < 0.001) and dyspareunia (pre-op: 6 (3.1–8.9) vs. 2-year post-op: 3 (0–6); p < 0.001). In the subgroup analysis, EHP-5 scores were improved in the RL group (pre-op: 65.9 (59.09–71.02) vs. 2-year post-op: 11.4 (0–38.06); p < 0.001) and the CL group (pre-op: 50 (34.65–68.18) vs. 2-year post-op: 27.27 (14.20–40.90); p < 0.001), with a slight advantage for RL (p = 0.04), and the same improvements were found for ConservS (pre-op: 61.4 (38.06–71.59) vs. 2-year post-op: 22.7 (11.93–38.07); p < 0.001) and TS groups (pre-op: 61.59 (51.70–68.75) vs. 2-year post-op: 13.63 (0–44.30); p < 0.001). Minimally invasive surgery improved the quality of life for DIE patients 2 years after surgery, and conservative surgery showed comparable results to total surgery.

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Section: Discussioncontrasting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis

Legendri

Carbonnel

Féki

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…All case reports showed that surgical management was feasible and had good results using robotic surgery [ 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 ]. Retrospective studies evaluated heterogeneous outcomes but, in general, concluded that RS was feasible and safe.…”

Section: Resultsmentioning

confidence: 99%

Robotic Surgery for Bladder Endometriosis: A Systematic Review and Approach

Oliveira,

Raymundo,

Pereira

et al. 2023

JCM

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Introduction: Women with bladder endometriosis often present with more advanced stages of endometriosis. Robotic surgery has emerged as a promising approach to the management of bladder endometriosis. This systematic review aims to analyze the current literature on robotic surgery for bladder endometriosis and describe our systematic approach to surgical treatment. Methods: This review followed the PRISMA guidelines, which ensured a comprehensive and transparent approach to selecting and evaluating relevant studies. We conducted a thorough literature search to identify studies that investigated the use of robotic surgery for bladder endometriosis. Relevant databases were searched, and inclusion and exclusion criteria were applied to select eligible studies. Data extraction and analysis were performed to assess the outcomes and effectiveness of robotic surgery for the treatment of bladder endometriosis. Results: We did not find any randomized clinical trials with the use of robotics in the treatment of bladder endometriosis. We found only two retrospective studies comparing robotic surgery with laparoscopy, and another retrospective study comparing robotic surgery, laparoscopy, and laparotomy in the treatment of bladder endometriosis. All the other 12 studies were solely case reports. Despite the lack of robust evidence in the literature, the studies demonstrated that robotic surgery is feasible and is associated with reduced postoperative pain, shorter hospital stays, and faster recovery. Conclusions: The utilization of robotic technology is a promising option for the surgical management of bladder endometriosis. We advocate a surgical systematic approach for the robotic treatment of bladder endometriosis. Robotic technology, with its 3D vision, instrumental degrees of freedom, and precision, particularly in suturing, may provide potential benefits over traditional laparoscopy.

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“…In India, the cost of a robotic surgery starts at INR 142,000. The estimated price of robotic surgery is INR 455,000 [ 27 ]. For full comment, the data are not relevant.…”

Section: Reviewmentioning

confidence: 99%

“…Surgical scars should not be regarded as a "cosmetic concern," but rather a representation of the influence body image has on the patient, always reminding them of the malignancy [ 29 ]. Data from the articles that are chosen from PubMed also claim that the robotic surgical method can yield satisfactory treatment outcomes in patients with early-stage cervical cancer while having a low complication rate [ 27 ]. The use of the da Vinci robotic surgery instrumentation in gynecology has broadened the indications for minimally invasive surgery.…”

Section: Reviewmentioning

confidence: 99%

Robot-Assisted Surgery in the Treatment of Gynecological Carcinoma and Malignancies: Introduction to the da Vinci Robotic Surgery System

Goel,

Pamnani,

Anjankar

2023

Cureus

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Robotic surgery is a surgical intervention that was developed from traditional manual surgeries because of the intrusive procedures it uses. It is now accomplished in hospitals worldwide, and comprehensive programs for the application of technology in the management of gynecological cancer are being developed. Robotic surgery should be straightforwardly compared with manual and traditional laparoscopy to see if the higher indirect costs are justified by some improvements in patient studies. This paper aims to evaluate the procedure of robotic surgery and its implementation in gynecological cancer to verify its safeness, practicability, and effectiveness. A higher chance of infections is usually in classical surgery, particularly in comparison to laparoscopic or robotic surgery. Surgical and hospital stay are much less with any of these new technologies than the aforementioned; however, the drawbacks are the scarcity of robot systems, their high price, and the realization that it is only appropriate in learning institutions with infrastructure and highly skilled surgeons. In conclusion, tissue engineering constitutes a significant discovery and approach for treating gynecological cancer with improved methods than some other types of traditional surgery, and it will likely become dominant technology shortly.

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Étude de faisabilité du traitement laparoscopique robot-assisté de lésions d’endométriose pelvienne profonde

Cited by 12 publications

References 20 publications

Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis

Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis

Robotic Surgery for Bladder Endometriosis: A Systematic Review and Approach

Robot-Assisted Surgery in the Treatment of Gynecological Carcinoma and Malignancies: Introduction to the da Vinci Robotic Surgery System

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