Robot-assisted laparoscopy for deep infiltrating endometriosis: a retrospective French multicentric study (2008–2019) using the Society of European Robotic Gynecological Surgery endometriosis database

Objective This study aimed at assessing perioperative results of robot-assisted laparoscopy (RAL) in the context of deep infiltrating endometriosis (DIE). Methods This retrospective French multicentric study included all patients with DIE who underwent surgical treatment managed by RAL (Da Vinci® Sy...

Full description

Saved in:
Bibliographic Details
Published in:Archives of gynecology and obstetrics 2022-04, Vol.305 (4), p.1105-1113
Main Authors: Saget, E., Peschot, C., Bonin, L., Belghiti, J., Boulland, E., Ghesquiere, L., Golfier, F., Hebert, T., Kerbage, Y., Lavoue, V., Merlot, B., Motton, S., Ternynck, C., Vidal, F., Gauthier, T., Collinet, P.
Format: Article
Language:English
Subjects:
Endocrinology
Endometriosis
Endometriosis - complications
Endometriosis - surgery
Female
General Gynecology
Gynecologic Surgical Procedures - adverse effects
Gynecologic Surgical Procedures - methods
Gynecological surgery
Gynecology
Human Genetics
Humans
Laparoscopy
Laparoscopy - adverse effects
Laparoscopy - methods
Life Sciences
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - surgery
Retrospective Studies
Robotic surgery
Robotic Surgical Procedures - adverse effects
Robotic Surgical Procedures - methods
Surgeons
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective This study aimed at assessing perioperative results of robot-assisted laparoscopy (RAL) in the context of deep infiltrating endometriosis (DIE). Methods This retrospective French multicentric study included all patients with DIE who underwent surgical treatment managed by RAL (Da Vinci® System). From November 2008 to June 2019, patients were included in a single European database, in Robotic Assisted Laparoscopic Gynecologic Surgery, with Society of European Robotic Gynecological Surgery collaboration. Patients had different DIE sites as follows: gynecological, urological, or digestive, or combinations of these. Surgical procedures and perioperative complications were evaluated. To assess complications, patients were divided into the following four groups according to surgical procedure and DIE site: gynecological only; gynecological and urological; gynecological and digestive; and gynecological, urological, and digestive. Results A total of 460 patients treated at one of eight health-care facilities from November 2008 to June 2019 were included. Median operative time was 245 min (IQR 186–320), surgeon console time was 138 ± 75 min and estimated blood loss was 70.0 mL ± 107 mL. Among this patient sample, 42.1% had a multidisciplinary surgical approach with a digestive or urology surgeon in addition to gynecology surgeon (25.5% and 16.6% of cases, respectively). Among those with intraoperative complications ( n  = 25, 5.4%) were primarily conversion to laparotomy ( n  = 6, 2.0%), transfusion ( n  = 2, 0.6%), and organ wounds ( n  = 8, 1.7%). Overall, 5.6% had severe postoperative complications (Clavien–Dindo classification ≥ Grade 3). Conclusion This is among the largest published series addressing RAL for DIE. Interest in this procedure appears promising, with no observed increases in blood loss or in peri- or post-operative complications. DIE laparoscopic surgery can require complex surgical procedures performed by multidisciplinary surgical teams. Thus, it may be one of the best candidates for RAL within gynecology surgery.
ISSN:1432-0711
0932-0067
1432-0711
DOI:10.1007/s00404-022-06414-6