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 |
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| 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 |
| DOI: | 10.1111/aogs.14170 |
| 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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