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肠子宫内膜异位症的结直肠切除术治疗:腹腔镜手术技术与结果。

Bowel Endometriosis Management by Colorectal Resection: Laparoscopic Surgical Technique & Outcome.

机构信息

Department of Gynaecological Endoscopy, Eva Women's Hospital, Ahmedabad, India.

出版信息

JSLS. 2023 Jan-Mar;27(1). doi: 10.4293/JSLS.2022.00075.

Abstract

BACKGROUND AND OBJECTIVES

Bowel deep infiltrating endometriosis (DIE) management by colorectal resection is a complex procedure. The purpose of the present study is to delineate a meticulous approach to the assessment of the patient, step-wise surgical technique, pre, and postoperative care, and its short-term and long-term outcomes.

METHODS

This is a single-center retrospective study done on patients of bowel DIE managed by colorectal resection between January 1, 2019 to June 30, 2021.

RESULTS

There was a significant improvement in the symptomatology of patients post-surgery. Our surgical technique is feasible with acceptable short-term and long-term outcomes.

CONCLUSION

Bowel DIE management can be proficiently executed with a proper diagnostic approach, appropriate surgical expertise with exhaustive pelvic anatomy knowledge especially concerning autonomic nerve plexus.

摘要

背景与目的

结直肠切除术治疗深部浸润型子宫内膜异位症(DIE)是一项复杂的手术。本研究旨在详细阐述患者评估、逐步手术技术、术前和术后护理以及其短期和长期结果的细致方法。

方法

这是一项于 2019 年 1 月 1 日至 2021 年 6 月 30 日期间对接受结直肠切除术治疗的 DIE 患者进行的单中心回顾性研究。

结果

患者术后的症状明显改善。我们的手术技术具有可行性,短期和长期结果可接受。

结论

通过适当的诊断方法、适当的手术专业知识和详尽的盆腔解剖知识(特别是自主神经丛),可以熟练地进行肠 DIE 管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15d3/9859653/2f3f969c4f53/LS-JSLS220075F011.jpg

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