Robot-assisted laparoscopy for deep infiltrating endometriosis: a retrospective French multicentric study (2008-2019) using the Society of European Robotic Gynecological Surgery endometriosis database

被引：4

作者：

Saget, E. ^{[1
]}

Peschot, C. ^{[2
]}

Bonin, L. ^{[3
]}

Belghiti, J. ^{[4
]}

Boulland, E. ^{[1
]}

Ghesquiere, L. ^{[1
]}

Golfier, F. ^{[3
]}

Hebert, T. ^{[5
]}

Kerbage, Y. ^{[1
]}

Lavoue, V. ^{[6
]}

Merlot, B. ^{[7
]}

Motton, S. ^{[8
]}

Ternynck, C. ^{[1
]}

Vidal, F. ^{[8
]}

Gauthier, T. ^{[2
]}

Collinet, P. ^{[1
]}

机构：

[1] CHU Jeanne Flandre, Dept Gynecol Surg, Lille, France

[2] CHU Limoges, Dept Gynecol Surg, Limoges, France

[3] CHU Lyon Sud, Hosp Civils Lyon, Dept Gynecol Surg, Lyon, France

[4] Hop La Pitie Salpetriere, AP HP, Dept Gynecol Surg, Paris, France

[5] CHU Bretonneau, Dept Gynecol Surg, Tours, France

[6] CHU Rennes, Dept Gynecol Surg, Rennes, France

[7] Clin Tivoli Ducos, Dept Gynecol Surg, FEMEndo, Bordeaux, France

[8] CHU Toulouse, Dept Gynecol Surg, Toulouse, France

来源：

ARCHIVES OF GYNECOLOGY AND OBSTETRICS | 2022年 / 305卷 / 04期

关键词：

Deep infiltrating endometriosis; Robot-assisted laparoscopy; Da Vinci system (R); SURGICAL-MANAGEMENT; DUAL-CONSOLE; COSTS; WOMEN;

D O I：

10.1007/s00404-022-06414-6

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective This study aimed at assessing perioperative results of robot-assisted laparoscopy (RAL) in the context of deep infiltrating endometriosis (DIE). Methods This retrospective French multicentric study included all patients with DIE who underwent surgical treatment managed by RAL (Da Vinci (R) System). From November 2008 to June 2019, patients were included in a single European database, in Robotic Assisted Laparoscopic Gynecologic Surgery, with Society of European Robotic Gynecological Surgery collaboration. Patients had different DIE sites as follows: gynecological, urological, or digestive, or combinations of these. Surgical procedures and perioperative complications were evaluated. To assess complications, patients were divided into the following four groups according to surgical procedure and DIE site: gynecological only; gynecological and urological; gynecological and digestive; and gynecological, urological, and digestive. Results A total of 460 patients treated at one of eight health-care facilities from November 2008 to June 2019 were included. Median operative time was 245 min (IQR 186-320), surgeon console time was 138 +/- 75 min and estimated blood loss was 70.0 mL +/- 107 mL. Among this patient sample, 42.1% had a multidisciplinary surgical approach with a digestive or urology surgeon in addition to gynecology surgeon (25.5% and 16.6% of cases, respectively). Among those with intraoperative complications (n = 25, 5.4%) were primarily conversion to laparotomy (n = 6, 2.0%), transfusion (n = 2, 0.6%), and organ wounds (n = 8, 1.7%). Overall, 5.6% had severe postoperative complications (Clavien-Dindo classification >= Grade 3). Conclusion This is among the largest published series addressing RAL for DIE. Interest in this procedure appears promising, with no observed increases in blood loss or in peri- or post-operative complications. DIE laparoscopic surgery can require complex surgical procedures performed by multidisciplinary surgical teams. Thus, it may be one of the best candidates for RAL within gynecology surgery.

引用

页码：1105 / 1113

页数：9

共 32 条

[1] Surgical management of deep endometriosis with colorectal involvement: CNGOF-HAS Endometriosis Guidelines [J].