腹腔镜结直肠切除术治疗深部浸润型子宫内膜异位症：436 例分析。
Laparoscopic colorectal resection for deep infiltrating endometriosis: analysis of 436 cases.
机构信息
Department of General Surgery, Sacro Cuore Don Calabria General Hospital, Verona, Italy.
出版信息
Surg Endosc. 2010 Jan;24(1):63-7. doi: 10.1007/s00464-009-0517-0. Epub 2009 May 23.
BACKGROUND
Complete removal of all visible lesions is considered the adequate treatment of pelvic endometriosis in order to reduce recurrence. Laparoscopic colorectal resection of bowel endometriosis is still challenging. A large series is reported.
METHODS
A longitudinal evaluation of surgical and clinical complications of 436 cases of severe endometriosis with colorectal resection was carried out. All procedures were performed laparoscopically in a single center and short-term complications were surveyed.
RESULTS
The overall complication rate was 8.3% with need for laparoconversion in 3.2%. Sixty patients required blood transfusion (13.7%), and rectovaginal fistulae were the most frequent postoperative complication (3.2%).
CONCLUSION
Laparoscopic colorectal resection for endometriosis is a relatively safe procedure in a context of close collaboration between gynecologists and surgeons, although it requires adequate training.
背景
为了降低复发率，彻底切除所有可见病灶被认为是治疗盆腔子宫内膜异位症的充分手段。腹腔镜下结直肠子宫内膜异位症切除术仍然具有挑战性。本文报道了一系列大样本量的病例。
方法
对在单中心接受腹腔镜下结直肠子宫内膜异位症切除术的 436 例严重子宫内膜异位症患者的手术和临床并发症进行了纵向评估。调查了短期并发症。
结果
总并发症发生率为 8.3%，中转开腹率为 3.2%。60 例患者需要输血（13.7%），术后最常见的并发症是直肠阴道瘘（3.2%）。
结论
在妇科医生和外科医生密切合作的情况下，腹腔镜下结直肠子宫内膜异位症切除术是一种相对安全的手术，但需要进行充分的培训。
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