Pereira Ricardo M A, Zanatta Alysson, Reich Harry, Bianchi Paulo H M, Fettback Paula B, Motta Eduardo L A, Serafini Paulo C
Obstetrics and Gynecology Department, Londrina State University, Londrina, Paraná, Brazil.
Surg Technol Int. 2008;17:181-6.
The objective of this study was to assess the feasibility and safety of laparoscopic rectosigmoid anterior wall discoid resection for endometriosis using the circular stapler. A retrospective analysis was conducted of nine consecutive patients undergoing laparoscopic radical excision of pelvic endometriosis, including bowel anterior wall discoid excision, at the Fertility and Pelvic Surgery Clinic and private hospitals in São Paulo, Brazil. The selected intervention was a radical laparoscopic endometriosis resection, including rectosigmoid anterior wall excision with the circular stapler. For certain types of bowel endometriosis, the anterior wall discoid stapler excision proved a suitable option that diminishes the chances of serious complications such as bowel fistula or anastomosis dehiscence.
本研究的目的是评估使用圆形吻合器进行腹腔镜乙状结肠直肠前壁盘状切除术治疗子宫内膜异位症的可行性和安全性。对巴西圣保罗生育与盆腔外科诊所及私立医院连续9例接受盆腔子宫内膜异位症腹腔镜根治性切除术（包括肠前壁盘状切除术）的患者进行了回顾性分析。所选干预措施为腹腔镜子宫内膜异位症根治性切除术，包括使用圆形吻合器进行乙状结肠直肠前壁切除术。对于某些类型的肠道子宫内膜异位症，前壁盘状吻合器切除术被证明是一种合适的选择，可减少诸如肠瘘或吻合口裂开等严重并发症的发生几率。
