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Cited by 244

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Randomized Trial of Laparoscopically Assisted Versus Open Colorectal Resection for Endometriosis: Morbidity, Symptoms, Quality of Life, and Fertility

Daraï, Emile, Dubernard, Gil, Coutant, Charles, Frey, Catherine, Rouzier, Roman, Ballester, Marcos·2010·Annals of Surgery
DOI 10.1097/sla.0b013e3181d9691d
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Abstract

OBJECTIVE: We report the first randomized trial of laparoscopically assisted versus open colorectal resection for endometriosis focusing on perioperative complications, improvement in symptoms, quality of life, and fertility. SUMMARY OF BACKGROUND DATA: Bowel endometriosis is one of the most severe forms of endometriosis. Although laparoscopically assisted surgery is a validated technique for colorectal cancer, there are serious concerns about its appropriateness for endometriosis in young women wishing to conceive because it is almost invariably a traumatic procedure. METHODS: We conducted a noninferiority trial and randomly assigned 52 patients with colorectal endometriosis to undergo laparoscopically assisted or open colorectal resection. The median follow-up was 19 months. The primary end point was improvement in dyschesia. RESULTS: Overall, a significant improvement in digestive symptoms (dyschesia P < 0.0001, diarrhea P < 0.01, and bowel pain and cramping P < 0.0001), gynecologic symptoms (dysmenorrhea P < 0.0001 and dyspareunia P < 0.0001), and general symptoms (back pain P = 0.001 and asthenia P = 0.0001) was observed. No difference in the symptom delta values and quality of life was noted between the groups. Median blood loss was lower in the laparoscopic group (P < 0.05). Total number of complications was higher in the open surgery group (P = 0.04), especially grade 3 (P = 0.03). Pregnancy rate was higher in the laparoscopic group (P = 0.006), and the cumulative pregnancy rate was 60%. CONCLUSION: Our findings support that laparoscopy is a safe option for women requiring colorectal resection for endometriosis. Moreover, laparoscopy offers a higher pregnancy rate than open surgery with similar improvements in symptoms and in quality of life.

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Research works printed but not linked: 24

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Metadata

Authors
Daraï, E., Dubernard, G., Coutant, C., Frey, C., Rouzier, R., & Ballester, M.
Venue
Annals of Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2010-06
Volume
251
Issue
6
Pages
1018-1023
ISSN
0003-4932 (ISSN-L)
DOI
10.1097/sla.0b013e3181d9691d
OpenAlex
W2027244513
Cited by
244
References
5
FWCI
18.88
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Randomized Trial of Laparoscopically Assisted Versus Open Colorectal Resection for Endometriosis: Morbidity, Symptoms, Quality of Life, and Fertility. https://app.cochat.ai/papers/10.1097/sla.0b013e3181d9691d
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Daraï, E., Dubernard, G., Coutant, C., Frey, C., Rouzier, R., & Ballester, M. (2010). Randomized Trial of Laparoscopically Assisted Versus Open Colorectal Resection for Endometriosis: Morbidity, Symptoms, Quality of Life, and Fertility. Annals of Surgery. https://doi.org/10.1097/sla.0b013e3181d9691d

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