Laparoscopic colorectal resection for deep pelvic endometriosis: Evaluation of post-operative outcome

Objectives. - Evaluation of mid-term functional results and the quality of life after laparoscopic colorectal resection. Patients and methods. - Twenty-three consecutive patients were included in a retrospective monocentric study. Postoperative functional outcomes and quality of life were analyzed. Results. - The median follow-up after colorectal resection was of 24 +/- 15.7 months (6-72). Major complications occurred in three cases (12,9%) including one anastomotic stenosis, one digestive and one bladder fistula. A significant improvement in pelvic pain symptoms was observed. De novo constipation and pain on defecation occurred in respectively 23% and 42% of the cases. Transient de novo dysuria occurred in 18% of the cases. The quality of life has been significantly improved. Conclusion. - Laparoscopic colorectal resection is associated with unfavourable postoperative digestive and urological outcomes, such as bladder and rectal dysfunction. Radical treatment should be limited to selected patients. (C) 2011 Elsevier Masson SAS. All rights reserved.