Laparoscopic versus laparotomic radical en bloc hysterectomy and colorectal resection for endometriosis
Abstract
Background Radical en bloc hysterectomy and colorectal resection (REHCR) is the ultimate and radical surgery for extensive pelvic endometriosis. Our aims were to evaluate feasibility, quality of life, and urinary function after REHCR by laparoscopy compared with laparotomy.Methods Single-center, retrospective study of 29 endometriosis patients having undergone REHCR (16 by laparoscopy, 13 by laparotomy). Gynecologic and digestive symptoms, quality of life [Short-Form (SF)-36 health status], and urinary function [International Prostate Score Symptoms (IPSS) and Bristol Female Lower Urinary Tract Symptoms (BFLUTS)] were evaluated using validated questionnaires.Results Except for mean age, no difference in epidemiologic characteristics was found between groups. Mean follow-up was 14 months (range 1-78 months). Four of the 16 patients (25%) of the laparoscopic group required laparoconversion. Consumption of analgesic drugs was lower in the laparoscopic group, and diarrhea (P < 0.001) and lower back pain (P < 0.001) improved. Improvement in dysmenorrhea (P < 0.001), dyspareunia (P < 0.001), asthenia (P < 0.001), and quality of life was observed without difference between groups. Urinary function was not altered and did not differ between groups.Conclusion Our data support the feasibility of REHCR by laparoscopy with less analgesic consumption. Efficacy in terms of symptoms and improvement in quality of life were similar between groups, suggesting that laparoscopy should be offered to patients requiring REHCR.
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Earlier studies found that endometriosis patients had lower PCS and MCS scores than the general population.
“In both studies, patients with endometriosis scored lower in the physical (PCS) and mental parameters (MCS) as compared to the general population.”
From Quantification of the impact of endometriosis symptoms on health-related quality of life and work productivity (2011) · cites this paper as [42]
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- Authors
- Daraï, E., Ballester, M., Chereau, E., Coutant, C., Rouzier, R., & Wafo, E.
- Affiliations
- Assistance Publique – Hôpitaux de Paris (FR)
- Venue
- Surgical Endoscopy
- Published
- 2010-06-08
- Volume
- 24
- Issue
- 12
- Pages
- 3060-3067
- ISSN
- 0930-2794 (ISSN-L)
- 1432-2218
- OpenAlex
- W2085948896
- Cited by
- 30
- References
- 53
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 2 · 2014: 3 · 2013: 2 · 2012: 2
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Surgical Endoscopy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Keywords
- endometriosis, colorectal resection, laparoscopic surgery, laparotomy, quality of life, urinary function, lower urinary tract symptoms, analgesic use, postoperative complications, dysmenorrhea, dyspareunia
- MeSH terms
- Adult, Colonic Diseases, Endometriosis, Female, Humans, Hysterectomy, Laparotomy, Middle Aged, Laparoscopy, Rectal Diseases, Retrospective Studies
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