Comparison of perioperative outcomes between standard laparoscopic and robot‐assisted approach in patients with rectosigmoid endometriosis

Autor: Manuela Maletta, Veronica Sampogna, Renato Seracchioli, Benedetta Orsini, Anna Chiara Aru, Antonino Farulla, Simona Del Forno, Diego Raimondo, Marco Petrillo, Alessandro Arena, Manuela Mastronardi, C. Alboni
Přispěvatelé: Raimondo D., Alboni C., Orsini B., Aru A.C., Farulla A., Maletta M., Arena A., Del Forno S., Sampogna V., Mastronardi M., Petrillo M., Seracchioli R.
Rok vydání: 2021
Předmět:
endometriosis
Laparoscopic surgery
Intraoperative Complication
medicine.medical_treatment
Uterosacral ligament
laparoscopy
Endometriosis
Postoperative Complications
0302 clinical medicine
Robotic Surgical Procedures
Original Research Article
030212 general & internal medicine
Intraoperative Complications
Prospective cohort study
Laparoscopy
robot‐assisted laparoscopic surgery
030219 obstetrics & reproductive medicine
medicine.diagnostic_test
endometriosi
Rectal Disease
Obstetrics and Gynecology
General Medicine
Treatment Outcome
medicine.anatomical_structure
Italy
Robot-Assisted Laparoscopic Surgery
Female
Human
Adult
Robotic Surgical Procedure
medicine.medical_specialty
animal structures
Operative Time
surgical technique
surgical techniques
03 medical and health sciences
rectosigmoid endometriosi
medicine
Humans
Gynecological Surgery
rectosigmoid endometriosis
robot-assisted laparoscopic surgery
business.industry
Perioperative
medicine.disease
Surgery
Rectal Diseases
Observational study
Postoperative Complication
business
Zdroj: Acta Obstetricia et Gynecologica Scandinavica
ISSN: 1600-0412
0001-6349
Popis: Introduction Robot‐assisted laparoscopic surgery (RALS) has gained widespread application in several surgical specialties. Previous studies on the feasibility and safety of RALS vs standard laparoscopy (S‐LPS) for rectosigmoid endometriosis are limited and reported conflicting data. This study aims to compare S‐LPS and RALS in patients with rectosigmoid endometriosis in terms of perioperative surgical and clinical data. Material and methods This is a multicentric, observational, prospective cohort study including 44 patients affected by rectosigmoid endometriosis referred to two tertiary referral centers for endometriosis from September 2018 to September 2019. Patients were divided into two groups: 22 patients underwent S‐LPS, and 22 underwent RALS. Our primary outcome was to compare operative time (from skin incision to suture) between the two groups. Secondary outcomes included: operative room time (patient entry into operative room and patient out), estimated blood loss, laparotomic conversion rate, length of hospital stay, perioperative complications, and evaluation of endometriosis‐related symptoms at 12‐month follow up. Results The two groups were comparable regarding preoperative and surgical data, except for higher rates of hysterectomies and bilateral uterosacral ligament removal procedures in the RALS group. Also after adjusting for these discrepancies, operative time was similar between S‐LPS and RALS. Operative room time was statistically longer in the RALS group compared with that of S‐LPS. No statistically significant difference was found concerning other study outcomes. Pain and bowel symptoms improved in both groups at 12‐month follow up. Conclusions If performed by expert teams, RALS provides similar perioperative outcomes compared with S‐LPS in rectosigmoid endometriosis surgical treatment, except for longer operative room time.
Databáze: OpenAIRE
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