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首页> 外文期刊>Gynecologie, obstetrique & fertilit >Segmentary rectal resection and rectal shaving by laparoscopy for endometriosis: Peri-operative morbidity [Résection rectale segmentaire et shaving rectal laparoscopiques pour endométriose : morbidité péri-opératoire]
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Segmentary rectal resection and rectal shaving by laparoscopy for endometriosis: Peri-operative morbidity [Résection rectale segmentaire et shaving rectal laparoscopiques pour endométriose : morbidité péri-opératoire]

机译：腹腔镜子宫内膜异位症部分直肠切除术和直肠刮除术：围手术期发病率

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Objective: A comparative study of the peri-operative complications between two surgical methods used in the treatment of bowel endometriosis: shaving versus segmentary colorectal resection. Patients and methods: Forty-one patients, who were treated by laparoscopic treatment of bowel endometriosis between January, 2010 and November, 2011 were included in a retrospective, unicenter series. Twenty patients had a "shaving" while 21 had a segmentary rectal resection. Results: The average follow-up was of 13.6 ± 6.7 months. No recurrence was observed during the study. The duration of surgery and the length of stay were significantly longer in the resection group, respectively 485.5 ± 85 min and 9.6 ± 6.5 days against 259.3 ± 104 min and 4 ± 1.3 days in the shaving group. The rates of early and late complications (Dindo classification) were respectively 71.4% and 33.3% in the resection group against 20% and 0% in the shaving group (P < 0.05). Our rate of vaginal fistula was null; this is to put in connection with the fact that an ileostomy of discharge was realized in 95.2% of the resections, as well as an epiplooplasty, when it was technically possible, in the case of a concomitant vaginal opening. Discussion and conclusion: The peri-operative morbidity was higher after partial bowel resection. Our study underlines that these two techniques are probably not addressed to the same patients. Considering the significant morbidity, it would be interesting to define in a consensual way, who the surgery should be propose to and by which procedure.
机译：目的：比较两种治疗肠内异症的手术方法的围手术期并发症：剃毛与节段性大肠切除术。患者和方法：回顾性单中心研究纳入了2010年1月至2011年11月之间接受腹腔镜治疗肠内异症的41例患者。 20例患者有“剃须”，而21例患者进行了部分直肠切除。结果：平均随访时间为13.6±6.7个月。在研究过程中未观察到复发。切除组的手术时间和住院时间明显更长，分别为485.5±85 min和9.6±6.5天，而剃须组为259.3±104 min和4±1.3天。切除组的早期和晚期并发症发生率（Dindo分类）分别为71.4％和33.3％，而剃须组为20％和0％（P <0.05）。我们的阴道瘘率为零。这与以下事实有关：在技术上可行的情况下，伴随阴道开口的情况下，在95.2％的切除术中实现了回肠造口术，同时进行了上皮回弹术。讨论与结论：部分肠切除术后围手术期发病率更高。我们的研究强调，这两种技术可能不适用于同一患者。考虑到明显的发病率，以协商一致的方式确定应该向谁提出手术以及通过哪种程序进行手术将很有趣。

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