Robotic-assisted laparoscopy for deep infiltrating endometriosis: the Register of the Society of European Robotic Gynaecological Surgery

• Published in: Gynécologie, obstétrique & fertilité Vol. 42; no. 11; pp. 744 - 748
• Main Authors: Hanssens, S, Nisolle, M, Leguevaque, P, Neme, R M, Cela, V, Barton-Smith, P, Hébert, T, Collinet, P
• Format: Journal Article
• Language: French
• Published: France 01.11.2014
• Subjects: Adult; Endometriosis - pathology; Endometriosis - surgery; Europe; Female; Fertility; Gynecologic Surgical Procedures - adverse effects; Gynecologic Surgical Procedures - methods; Humans; Laparoscopy - adverse effects; Laparoscopy - methods; Middle Aged; Postoperative Complications - epidemiology; Recurrence; Robotic Surgical Procedures - methods; Treatment Outcome; Deep infiltrating endometriosis; Endométriose pelvienne profonde; Système Da Vinci(®); Da Vinci(®) system; Cœlioscopie robot-assistée; Robotic-assisted laparoscopy
• ISSN: 1769-6682
• DOI: 10.1016/j.gyobfe.2014.09.005

To assess the interest of robotic-assisted laparoscopy in the context of deep infiltrating endometriosis and to investigate perioperative results. From November 2008 to April 2012, 164 women with stage IV endometriosis who underwent robotic-assisted laparoscopy (DA VINCI Intuitive Surgical System(®)) were included by eight international participating clinical centers. Patients were divided in 4 groups according to the localization of the nodule(s): rectum (n=88), bladder (n=23), ureter and uterosacral ligaments (n=115) et hysterectomy (n=28). We evaluated the procedures performed, the duration of intervention, the complications, the recurrence and the impact on fertility. In the rectum group, there was a laparotomy conversion, 2 sutured rectal injuries and a red cells blood transfusion. In the bladder group, there was a vesicovaginal hematoma and a prolongated intermittent self-catheterization. In the ureter and uterosacral ligaments group, there was 2 ureteral fistulas and there was no complication in the hysterectomy group. This study is the largest series published in the literature on robotic-assisted laparoscopy for deep infiltrating endometriosis. The interest of robotic-assisted laparoscopy in deep infiltrating endometriosis seems to be promising while no increase in surgical time, blood loss, and intra- and postoperative complications were observed.