Cited by 65Endometriosis Research and TreatmentEndometrial and Cervical Cancer TreatmentsGynecological conditions and treatments

Surgical Excision of Advanced Endometriosis: Perioperative Outcomes and Impacting Factors

Magrina, Javier F., Espada, Mercedes, Kho, Rosanne M., Cetta, Rachel, Chang, Yu-Hui H., Magtibay, Paul M.·2015·Journal of Minimally Invasive Gynecology

Abstract

Objective To determine perioperative outcomes and factors impacting operating time, length of hospital stay, and complications of patients undergoing surgery for stage 3 or 4 endometriosis.Design Retrospective review of medical records (Canadian Task Force classification II-2).Setting Mayo Clinic Hospital, Phoenix, Arizona.Patients Women (n = 493) with endometriosis stage 3 and 4 undergoing surgical excision between March 15, 2005, and December 31, 2011.Interventions Robotic-assisted (n = 331) or laparoscopic (n = 162) excision.Measurements Age, body mass index, comorbidities, number and type of procedures per patient, type of surgical approach, operating time, blood loss, intraoperative and postoperative complications (within 42 days), and length of hospital stay.Main results The mean patient age was 39.5 years; body mass index, 25.9; number of procedures, 3.3; operating time, 130.4 minutes; blood loss, 88.5 mL; and hospital stay, 1.0 days. Major complications occurred in 5 patients (1.5%). Fifty-nine patients (12.0%) underwent modified radical hysterectomy, 90 (18.3%) underwent ureteral and/or intestinal resection, and 3 (0.6%) underwent diaphragm resection. Factors significantly associated with operating time included age (p = .008) and blood loss, number of procedures per patient, and robotics (all p < .001). Length of stay was affected by age, operating time, and blood loss (all p < .001). Operating time was the only significant factor associated with postoperative complications (p < .001).Conclusion Operating time is an independent and significant factor for postoperative complications and hospital stay.

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Crossref · 10.1016/j.jmig.2015.04.016

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Authors
Magrina, J. F., Espada, M., Kho, R. M., Cetta, R., Chang, Y.-H. H., & Magtibay, P. M.
Affiliations
  • Mayo Clinic Hospital (US)
  • Mayo Clinic (US)
Corresponding author
Magrina, Javier F.
Venue
Journal of Minimally Invasive Gynecology
Publisher
Elsevier BV
Published
2015-09
Volume
22
Issue
6
Pages
944-950
ISSN
1553-4650 (ISSN-L)
OpenAlex
W2101967681
Cited by
65
References
22
Citations by year
2026: 3 · 2025: 3 · 2024: 9 · 2023: 14 · 2022: 7 · 2021: 5 · 2020: 4 · 2019: 6 · 2018: 2 · 2017: 9 · 2016: 3
FWCI
5.32
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Minimally Invasive Gynecology (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 › Gynecological conditions and treatments
Keywords
advanced endometriosis, surgical excision, robotic surgery, laparoscopic surgery, operative time, length of hospital stay, postoperative complications, blood loss, modified radical hysterectomy, diaphragm resection, risk factors
MeSH terms
Adult, Arizona, Endometriosis, Female, Humans, Hysterectomy, Length of Stay, Laparoscopy, Postoperative Complications, Retrospective Studies, Robotics, Body Mass Index, Blood Loss, Surgical, Treatment Outcome, Operative Time

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