Robot-assisted laparoscopy for deep infiltrating endometriosis: international multicentric retrospective study

Abstract

This study analyzed the largest series of robot-assisted laparoscopies for deep infiltrating endometriosis published in the literature. No increase in surgical time, blood loss, or intra- or postoperative complications was observed. The interest in robot-assisted laparoscopy for deep infiltrating endometriosis seems to be promising.

Laparoscopie robot-assistée pour endométriose colorectale : morbidité de la résection digestive et du shaving

“…Collinet et al ont publié la plus grande sé rie de femmes (dont certaines font partie de cette é tude) opé ré es en chirurgie laparoscopique robot-assisté e pour de l'endomé triose profonde [9]. Cette sé rie met en é vidence que la chirurgie laparoscopique robot-assisté e, avec les avantages qu'elle apporte, n'augmente pas la morbidité peropé ratoire.…”

“…Collinet et al, avec leur sé rie multicentrique de 164 femmes, ont montré que la chirurgie laparoscopique robot-assisté e é tait une voie d'abord prometteuse pour la prise en charge de d'endomé triose sous-pé ritoné ale profonde [9]. La morbidité du shaving et de la ré section digestive en chirurgie laparoscopique robot-assisté e a é té comparé e par Ercoli et al dans une sé rie de 22 femmes parmi lesquelles douze ont eu une ré section digestive et dix ont eu un shaving [10].…”

The Diagnosis and Management of Severe Endometriosis

“…This technique when compared to the standard technique appears to be associated with significantly less bladder/bowel and sexual dysfunction. 40,41 Thus there is still no definitive consensus on which approach is the "best" technique to treat bowel endometriosis; ultimately the aim of treating DIE affecting the bowel should focus on the long-term resolution of bowel symptoms with the fewest complications. Detailed counseling and a multidisciplinary approach is key.…”

The learning curves of robotic and three-dimensional laparoscopic surgery in cervical cancer

“…The first 3D laparoscopy systems have been introduced into clinical practice for about 30 years, while the Da Vinci® system (Intuitive Surgical Inc, Sunnyvale CA, USA) was authorized for gynecologic surgery in April 2005 and its three-dimensional (3D) vision and a higher degree of forceps freedom had provided advantages of minimally invasive surgery 1-4. Some previous studies showed that robot-assisted surgery in benign gynecological diseases had no obvious advantage 5-7.…”