Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis

Legendri, Sophie; Carbonnel, Marie; Féki, Anis; Moawad, Gaby; Aubry, Gabrielle; Vallée, Alexandre; Ayoubi, Jean-Marc

doi:10.3390/jcm11206132

Cited by 5 publications

(1 citation statement)

References 26 publications

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“…Many patients had multiple endometriotic foci and suffered metabolic diseases in addition to being overweight. In deep endometriosis, especially those that require extensive resection, such as deep infiltrative endometriosis, generalized peritoneal implantation, and involvement of the urinary and intestinal tract, a greater benefit has been demonstrated with RAL [ 14 , 20 , 29 , 30 ] since it allows better visualization and detection of endometriotic lesions in comparison with CL, as well as a lower risk of complications [ 16 , 17 , 22 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy between Conventional Laparoscopy and Robotic Surgery in Mexican Patients with Endometriosis: A Comparative Study

Bandala,

Cifuentes-Chacón,

Cortes-Vázquez

et al. 2024

JCM

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Background. Surgical management of endometriosis is essential, and deep endometriosis involves the invasion of endometrial tissue into other organs such as the bladder, ureters, and rectum. In Latin American countries, significant expertise has been achieved in conventional laparoscopy (CL); however, there is less experience in robot-assisted laparoscopy (RAL) because of the high cost of this technique. For this reason, studies comparing CL and RAL for the treatment of deep endometriosis in patients are scarce, making this study the first to share the experience of Mexican patients. Aim. The efficacy of CL vs. RAL in the management of deep endometriosis in Mexican patients was compared. Materials and Methods. We performed a retrospective and comparative study. We considered all patients treated with minimally invasive surgery for deep endometriosis between 2015 and 2023. Results. A total of 93 patients were included; 56 patients were treated with CL, and 37 patients were treated with RAL. A significant difference (p < 0.05) was observed in the postoperative length of stay, which was longer in patients treated with CL compared with those treated with RAL. Additionally, postoperative pain was less frequent in patients treated with RAL than in those treated with CL (p < 0.05). We did not observe a significant difference in operative time, blood loss, or perioperative complications between the two surgical techniques (p < 0.05). Conclusions. CL and RAL are effective methods for managing endometriosis in Mexican patients; however, RAL is beneficial for the treatment of deep endometriosis because patients experience postoperative pain less frequently than CL patients and have a shorter postoperative length of stay.

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Section: Discussionmentioning

confidence: 99%

Efficacy between Conventional Laparoscopy and Robotic Surgery in Mexican Patients with Endometriosis: A Comparative Study

Bandala,

Cifuentes-Chacón,

Cortes-Vázquez

et al. 2024

JCM

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The effect of calcium oxalate stones and uric acid stones on male sexual function

Chen,

Pang,

et al. 2024

Int Urol Nephrol

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Robotic assisted versus laparoscopic surgery for deep endometriosis: a meta-analysis of current evidence

Pavone,

Baroni,

Campolo

et al. 2024

J Robotic Surg

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Endometriosis is a benign inflammatory onco-mimetic disease affecting 10–15% of women in the world. When it is refractory to medical treatments, surgery may be required. Usually, laparoscopy is the preferred approach, but robotic surgery has gained popularity in the last 15 years. This study aims to evaluate the safety and efficacy of robotic-assisted laparoscopic surgery (RAS) versus conventional laparoscopic surgery (LPS) in the treatment of endometriosis. This study adheres to PRISMA guidelines and is registered with PROSPERO. Studies reporting perioperative data comparing RAS and LPS surgery in patients with endometriosis querying PubMed, Google Scholar and ClinicalTrials.gov were included in the analysis. The Quality Assessment of Diagnostic Accuracy Studies 2 tool (QUADAS-2) was used for the quality assessment of the selected articles. Fourteen studies were identified, including 2709 patients with endometriosis stage I-IV for the meta-analysis. There were no significant differences between RAS and LPS in terms of intraoperative and postoperative complications, conversion rate and estimated blood loss. However, patients in the RAS group have a longer operative time (p < 0.0001) and longer hospital stay (p = 0.020) than those in the laparoscopic group. Robotic surgery is not inferior to laparoscopy in patients with endometriosis in terms of surgical outcomes; however, RAS requires longer operative times and longer hospital stay. The benefits of robotic surgery should be sought in the easiest potential integration of robotic platforms with new technologies. Prospective studies comparing laparoscopy to the new robotic systems are desirable for greater robustness of scientific evidence.

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Improvement of Post-Operative Quality of Life in Patients 2 Years after Minimally Invasive Surgery for Pain and Deep Infiltrating Endometriosis

Cited by 5 publications

References 26 publications

Efficacy between Conventional Laparoscopy and Robotic Surgery in Mexican Patients with Endometriosis: A Comparative Study

Efficacy between Conventional Laparoscopy and Robotic Surgery in Mexican Patients with Endometriosis: A Comparative Study

The effect of calcium oxalate stones and uric acid stones on male sexual function

Robotic assisted versus laparoscopic surgery for deep endometriosis: a meta-analysis of current evidence

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