Department of Gynaecology and Obstetrics, Tenon University Hospital, Assistance Publique des Hôpitaux de Paris, Paris, France.
Department of Gynaecology and Obstetrics, Tenon University Hospital, Assistance Publique des Hôpitaux de Paris, Paris, France.
J Minim Invasive Gynecol. 2018 Mar-Apr;25(3):440-446. doi: 10.1016/j.jmig.2017.09.019. Epub 2017 Oct 5.
Our primary endpoint was to compare the intra- and postoperative complications, whereas secondary endpoints were the occurrence of voiding dysfunction and evaluation of the quality or life of segmental and discoid resection in patients with colorectal endometriosis.
Retrospective study (Canadian Task Force classification II-2).
Tenon University Hospital in Paris.
Thirty-one 31 patients who underwent a conservative surgery and 31 patients who underwent.
The 2 groups were compared using propensity score matching (PSM) analysis, with a median follow-up of 247 days (8.2 months).
Discoid colorectal resection was associated with a shorter operating time (155 vs 180 minutes, p = .03) and hospital stay (7 vs 8 days, p = .002) than segmental colorectal resection; however, a similar intra- and postoperative complication rate was found. A higher rate of postoperative voiding dysfunction was observed in the segmental resection group (19% vs 45%, p = .03) as well as duration of voiding dysfunction requiring bladder self-catheterization longer than 30 days (0 vs 22%, p = .005).
Our PSM analysis suggests the advantages of discoid resection because it results in a similar surgical complication rate to segmental resection but with advantages in operating time, hospital stay, and voiding dysfunction.
我们的主要终点是比较术中及术后并发症，次要终点是比较结直肠子宫内膜异位症患者行节段性和盘状切除术的排尿功能障碍发生率和生活质量评估。
回顾性研究（加拿大工作队分类 II-2）。
巴黎 Tenon 大学医院。
31 例行保守手术的患者和 31 例行手术的患者。
使用倾向评分匹配（PSM）分析比较两组，中位随访时间为 247 天（8.2 个月）。
盘状结直肠切除术的手术时间（155 分钟比 180 分钟，p=0.03）和住院时间（7 天比 8 天，p=0.002）短于节段性结直肠切除术；然而，两组的术中及术后并发症发生率相似。节段性切除术组术后排尿功能障碍发生率较高（19%比 45%，p=0.03），需要膀胱自我导尿的排尿功能障碍持续时间也较长（0 比 22%，p=0.005）。
我们的 PSM 分析表明盘状切除术具有优势，因为它与节段性切除术具有相似的手术并发症发生率，但在手术时间、住院时间和排尿功能障碍方面具有优势。
