Robotic-assisted Laparoscopic Treatment of Bowel, Bladder, and Ureteral Endometriosis

Overview

Journal JSLS

Specialty General Surgery

Date 2011 Oct 12

PMID 21985730

Citations 16

Authors

Camran Nezhat

Babak Hajhosseini

Louise P King

Affiliations

Soon will be listed here.

Abstract

Background: Endometriosis commonly affects the pelvic organs but can also affect organs outside the pelvis and is then termed extragenital endometriosis.

Cases: Successful robotically assisted laparoscopic management of extragenital endometriosis, specifically, endometriosis of the bowel, bladder, and ureter in 5 patients.

Conclusion: A substantial body of evidence supports the laparoscopic approach as the preferred method for many procedures; yet, a majority of procedures today still are performed by laparotomy. This preference for open procedures is likely due to the lack of trained endoscopic surgeons, the difficulty in obtaining proper instruments, and the long learning curve of operative laparoscopy. The recent advent of computer-enhanced technology may provide the bridge necessary for more surgeons to incorporate laparoscopic surgery in the treatment of complex cases.

Citing Articles

Comprehensive Management of Bowel Endometriosis: Surgical Techniques, Outcomes, and Best Practices.

Tsuei A, Nezhat F, Amirlatifi N, Najmi Z, Nezhat A, Nezhat C J Clin Med. 2025; 14(3).

PMID: 39941647 PMC: 11818743. DOI: 10.3390/jcm14030977.

Robotic surgery for deep-infiltrating endometriosis: is it time to take a step forward?.

Ferrari F, Youssef Y, Naem A, Ferrari F, Odicino F, Krentel H Front Med (Lausanne). 2024; 11:1387036.

PMID: 38504917 PMC: 10948538. DOI: 10.3389/fmed.2024.1387036.

Robotic Surgery for Bladder Endometriosis: A Systematic Review and Approach.

Oliveira M, Raymundo T, Pereira T, de Souza R, Lima F, De Wilde R J Clin Med. 2023; 12(16).

PMID: 37629459 PMC: 10455656. DOI: 10.3390/jcm12165416.

Ultrasound findings in extragenital endometriosis.

Dong Y, Braden B, Klinger C, Ripolles T, Dietrich C J Ultrason. 2018; 18(74):247-254.

PMID: 30427131 PMC: 6442214. DOI: 10.15557/JoU.2018.0036.

Gastrointestinal and Urinary Tract Endometriosis: A Review on the Commonest Locations of Extrapelvic Endometriosis.

Charatsi D, Koukoura O, Ntavela I, Chintziou F, Gkorila G, Tsagkoulis M Adv Med. 2018; 2018:3461209.

PMID: 30363647 PMC: 6180923. DOI: 10.1155/2018/3461209.

References

Nezhat C, Pennington E, Nezhat F, Silfen S . Laparoscopically assisted anterior rectal wall resection and reanastomosis for deeply infiltrating endometriosis. Surg Laparosc Endosc. 1991; 1(2):106-8. View

Nezhat F, Nezhat C, Pennington E . Laparoscopic proctectomy for infiltrating endometriosis of the rectum. Fertil Steril. 1992; 57(5):1129-32. DOI: 10.1016/s0015-0282(16)55039-0. View

Pappas T, Jacobs D . Laparoscopic resection for colon cancer--the end of the beginning?. N Engl J Med. 2004; 350(20):2091-2. DOI: 10.1056/NEJMe048076. View

Nezhat C, Nezhat F, Pennington E, Nezhat C, Ambroze W . Laparoscopic disk excision and primary repair of the anterior rectal wall for the treatment of full-thickness bowel endometriosis. Surg Endosc. 1994; 8(6):682-5. DOI: 10.1007/BF00678566. View

Nezhat F, Nezhat C, Levy J . Laparoscopic treatment of symptomatic diaphragmatic endometriosis: a case report. Fertil Steril. 1992; 58(3):614-6. DOI: 10.1016/s0015-0282(16)55273-x. View

Nezhat C, Nezhat F, Green B . Laparoscopic treatment of obstructed ureter due to endometriosis by resection and ureteroureterostomy: a case report. J Urol. 1992; 148(3):865-8. DOI: 10.1016/s0022-5347(17)36747-2. View

Barham M . Laparoscopic vaginal delivery: report of a case, literature review, and discussion. Obstet Gynecol. 2000; 95(1):163-5. DOI: 10.1016/s0029-7844(99)00512-8. View

Nezhat F, Nezhat C, Pennington E, Ambroze Jr W . Laparoscopic segmental resection for infiltrating endometriosis of the rectosigmoid colon: a preliminary report. Surg Laparosc Endosc. 1992; 2(3):212-6. View

Williams S, Leveillee R . Expanding the horizons: robot-assisted reconstructive surgery of the distal ureter. J Endourol. 2009; 23(3):457-61. DOI: 10.1089/end.2008.0269. View

10.

Marecik S, Chaudhry V, Jan A, Pearl R, Park J, Prasad L . A comparison of robotic, laparoscopic, and hand-sewn intestinal sutured anastomoses performed by residents. Am J Surg. 2007; 193(3):349-55. DOI: 10.1016/j.amjsurg.2006.09.018. View

11.

DRAKE T, Grunert G . The unsuspected pelvic factor in the infertility investigation. Fertil Steril. 1980; 34(1):27-31. View

12.

Pitkin R, Parker W . Operative laparoscopy: a second look after 18 years. Obstet Gynecol. 2010; 115(5):890-891. DOI: 10.1097/AOG.0b013e3181daf60a. View

13.

Veeraswamy A, Lewis M, Mann A, Kotikela S, Hajhosseini B, Nezhat C . Extragenital endometriosis. Clin Obstet Gynecol. 2010; 53(2):449-66. DOI: 10.1097/GRF.0b013e3181e0ea6e. View

14.

Nezhat F . Minimally invasive surgery in gynecologic oncology: laparoscopy versus robotics. Gynecol Oncol. 2008; 111(2 Suppl):S29-32. DOI: 10.1016/j.ygyno.2008.07.025. View

15.

Nezhat F, Nezhat C . Operative laparoscopy (minimally invasive surgery): state of the art. J Gynecol Surg. 1993; 8(3):111-41. DOI: 10.1089/gyn.1992.8.111. View

16.

Nezhat C, Nezhat F, Ambroze W, Pennington E . Laparoscopic repair of small bowel and colon. A report of 26 cases. Surg Endosc. 1993; 7(2):88-9. DOI: 10.1007/BF00704384. View

17.

Nelson H, Sargent D, Wieand H, Fleshman J, Anvari M, Stryker S . A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004; 350(20):2050-9. DOI: 10.1056/NEJMoa032651. View

18.

Nezhat C, Nezhat F, Nezhat C . Evolving role and current state of robotics in minimally invasive gynecologic surgery. J Minim Invasive Gynecol. 2009; 16(5):661-2. DOI: 10.1016/j.jmig.2009.06.009. View

19.

Nezhat C, Nezhat F, Nezhat C, Nasserbakht F, Rosati M, Seidman D . Urinary tract endometriosis treated by laparoscopy. Fertil Steril. 1996; 66(6):920-4. View

20.

Nezhat C, Lavie O, Lemyre M, Gemer O, Bhagan L, Nezhat C . Laparoscopic hysterectomy with and without a robot: Stanford experience. JSLS. 2009; 13(2):125-8. PMC: 3015924. View