Laparoscopic Resection and Anastomosis in Bowel Endometriosis: Single Stapler Surgical Technique.

IF 1.4 4区医学 Q3 SURGERY

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2025-04-01 Epub Date: 2025-05-06 DOI:10.4293/JSLS.2025.00004

Dipak Limbachiya, Mahan Gowda, Ayush Heda

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引用次数: 0

Abstract

Background and objectives: Endometriosis affects 10% of reproductive-age women globally, with bowel endometriosis in 3.8%-37% of cases, primarily involving the rectum and sigmoid. Surgical excision is the gold-standard treatment for deep infiltrating endometriosis (DIE). Our objective was to evaluate the feasibility, safety, and efficacy of a single-stapler laparoscopic resection and anastomosis technique for bowel DIE.

Methods: This retrospective study analyzed 17 cases managed from January 2023 to June 2024. Clinical presentation, surgical outcomes, and follow-up data were reviewed. Symptom improvement and complications were assessed during a minimum 3-month postoperative period.

Results: Patients primarily presented with preoperative symptoms, including progressive dysmenorrhea, dyspareunia, and dyschezia. All anastomoses were tension-free with negative margins; no diversion stomas were needed. Postoperative recovery was smooth, with significant symptom relief and no complications.

Conclusion: The single-stapler technique for laparoscopic rectosigmoid resection is a safe, effective approach for bowel DIE, offering excellent outcomes with significant symptom relief and minimal severe complications.

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腹腔镜下肠内膜异位症的切除与吻合：单吻合器手术技术。

背景和目的：子宫内膜异位症影响全球10%的育龄妇女，其中肠子宫内膜异位症占3.8%-37%，主要累及直肠和乙状结肠。手术切除是治疗深浸润性子宫内膜异位症（DIE）的金标准。我们的目的是评估单吻合器腹腔镜切除和吻合技术治疗肠死亡的可行性、安全性和有效性。方法：对2023年1月至2024年6月收治的17例患者进行回顾性研究。我们回顾了临床表现、手术结果和随访资料。术后至少3个月评估症状改善和并发症。结果：患者主要表现为术前症状，包括进行性痛经、性交困难和精神障碍。所有吻合口无张力，边缘呈阴性；不需要分流造口。术后恢复顺利，症状明显缓解，无并发症。结论：单吻合器技术用于腹腔镜直肠乙状结肠切除术是一种安全、有效的治疗肠死亡的方法，治疗效果好，症状明显缓解，严重并发症少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JSLS : Journal of the Society of Laparoendoscopic Surgeons SURGERY-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： JSLS, Journal of the Society of Laparoscopic & Robotic Surgeons publishes original scientific articles on basic science and technical topics in all the fields involved with laparoscopic, robotic, and minimally invasive surgery. CRSLS, MIS Case Reports from SLS is dedicated to the publication of Case Reports in the field of minimally invasive surgery. The journals seek to advance our understandings and practice of minimally invasive, image-guided surgery by providing a forum for all relevant disciplines and by promoting the exchange of information and ideas across specialties.