Robotic Approach to Ureteral Endometriosis: Surgical Features and Perioperative Outcomes
Introduction: Surgical treatment of ureteral endometriosis is necessary to relieve urinary symptoms of obstruction and to preserve renal function. Which surgical approach to ureteral endometriosis should be considered the most appropriate is debated, due to the lack of scientific evidence. The aim o...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-09-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fsurg.2018.00051/full |
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| author | Andrea Giannini Silvia Pisaneschi Elisa Malacarne Vito Cela Franca Melfi Alessandra Perutelli Tommaso Simoncini |
| author_facet | Andrea Giannini Silvia Pisaneschi Elisa Malacarne Vito Cela Franca Melfi Alessandra Perutelli Tommaso Simoncini |
| author_sort | Andrea Giannini |
| collection | DOAJ |
| description | Introduction: Surgical treatment of ureteral endometriosis is necessary to relieve urinary symptoms of obstruction and to preserve renal function. Which surgical approach to ureteral endometriosis should be considered the most appropriate is debated, due to the lack of scientific evidence. The aim of the present study is to assess the feasibility and to describe the perioperative outcomes of minimally invasive treatment of deep ureteral endometriosis using robotic assistance, highlighting the technical benefits and the limits of this approach.Method: A case-series including 31 consecutive patients affected by high-stage endometriosis including ureteral endometriosis using robotic assistance in our Department between November 2011 and September 2017.Results: All procedures were successfully completed by robotic technique, resulting in full excision of the parametrial nodules involving the ureter. Mean operating time was 184.8 ± 81 min. Mean hospital stay was 4.02 ± 3 days. Perioperative complications occurred in five patients and 4 out of 5 involved the urinary tract.Conclusions: Robotic surgery for deep infiltrating endometriosis of the ureter was feasible and allowed complete resection of ureteral nodules in all cases. No intraoperative complications arose, but a non-negligible rate of urinary tract complications was detected. This calls for a careful assessment of the benefits and specific risks associated with the use of robotic surgery for the treatment of deep infiltrating endometriosis of the ureter. |
| first_indexed | 2024-12-23T06:37:21Z |
| format | Article |
| id | doaj.art-7f7a51525d8641dda74fe1b749fc0c57 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-23T06:37:21Z |
| publishDate | 2018-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-7f7a51525d8641dda74fe1b749fc0c572022-12-21T17:56:46ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2018-09-01510.3389/fsurg.2018.00051382941Robotic Approach to Ureteral Endometriosis: Surgical Features and Perioperative OutcomesAndrea Giannini0Silvia Pisaneschi1Elisa Malacarne2Vito Cela3Franca Melfi4Alessandra Perutelli5Tommaso Simoncini6Division of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, Pisa, ItalyDivision of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, Pisa, ItalyDivision of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, Pisa, ItalyDivision of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, Pisa, ItalyMultidisciplinary Center of Robotic Surgery, Azienda Ospedaliero Universitaria Pisana, Pisa, ItalyDivision of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, Pisa, ItalyDivision of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, Pisa, ItalyIntroduction: Surgical treatment of ureteral endometriosis is necessary to relieve urinary symptoms of obstruction and to preserve renal function. Which surgical approach to ureteral endometriosis should be considered the most appropriate is debated, due to the lack of scientific evidence. The aim of the present study is to assess the feasibility and to describe the perioperative outcomes of minimally invasive treatment of deep ureteral endometriosis using robotic assistance, highlighting the technical benefits and the limits of this approach.Method: A case-series including 31 consecutive patients affected by high-stage endometriosis including ureteral endometriosis using robotic assistance in our Department between November 2011 and September 2017.Results: All procedures were successfully completed by robotic technique, resulting in full excision of the parametrial nodules involving the ureter. Mean operating time was 184.8 ± 81 min. Mean hospital stay was 4.02 ± 3 days. Perioperative complications occurred in five patients and 4 out of 5 involved the urinary tract.Conclusions: Robotic surgery for deep infiltrating endometriosis of the ureter was feasible and allowed complete resection of ureteral nodules in all cases. No intraoperative complications arose, but a non-negligible rate of urinary tract complications was detected. This calls for a careful assessment of the benefits and specific risks associated with the use of robotic surgery for the treatment of deep infiltrating endometriosis of the ureter.https://www.frontiersin.org/article/10.3389/fsurg.2018.00051/fullroboticureteral endometriosisda Vinci Xida Vinci Sigynecologic surgeryminimally invasive surgery |
| spellingShingle | Andrea Giannini Silvia Pisaneschi Elisa Malacarne Vito Cela Franca Melfi Alessandra Perutelli Tommaso Simoncini Robotic Approach to Ureteral Endometriosis: Surgical Features and Perioperative Outcomes Frontiers in Surgery robotic ureteral endometriosis da Vinci Xi da Vinci Si gynecologic surgery minimally invasive surgery |
| title | Robotic Approach to Ureteral Endometriosis: Surgical Features and Perioperative Outcomes |
| title_full | Robotic Approach to Ureteral Endometriosis: Surgical Features and Perioperative Outcomes |
| title_fullStr | Robotic Approach to Ureteral Endometriosis: Surgical Features and Perioperative Outcomes |
| title_full_unstemmed | Robotic Approach to Ureteral Endometriosis: Surgical Features and Perioperative Outcomes |
| title_short | Robotic Approach to Ureteral Endometriosis: Surgical Features and Perioperative Outcomes |
| title_sort | robotic approach to ureteral endometriosis surgical features and perioperative outcomes |
| topic | robotic ureteral endometriosis da Vinci Xi da Vinci Si gynecologic surgery minimally invasive surgery |
| url | https://www.frontiersin.org/article/10.3389/fsurg.2018.00051/full |
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