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

J Gynecol Obstet Biol Reprod (Paris). 2012 Apr;41(2):128-35. doi: 10.1016/j.jgyn.2011.06.018. Epub 2011 Nov 8.
[Article in French]

Abstract

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.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Colon / surgery*
  • Constipation / etiology
  • Digestive System Diseases / etiology
  • Digestive System Diseases / surgery*
  • Endometriosis / surgery*
  • Female
  • Humans
  • Laparoscopy* / adverse effects
  • Middle Aged
  • Pelvic Pain
  • Postoperative Complications / epidemiology
  • Quality of Life
  • Rectum / surgery*
  • Retrospective Studies
  • Treatment Outcome
  • Urinary Bladder Fistula / etiology