{"paper_id":"ad1e588e-7f2b-4009-8e3e-53db7d54a384","body_text":"Patient-Reported Outcomes after Robotic Resection of Deep Endometriosis of the Bowel\n- Poppy Addison1,2\n- Kelsey Stewart3\n- Davide Ferrari1,4\n- Richard Garfinkle1,5\n- Robert A. Vierkant6\n- William Perry1\n- David Larson1\n- Adela Cope3\n- Zaraq Khan3\n- Carrie Langstraat3\n- Tatnai Burnett3\n- Kevin Behm1\nBACKGROUND:\nWhile minimally invasive surgery is the current surgical standard of care for excision of deep endometriosis of the bowel, there is little literature evaluating patient-reported outcome measures following a multidisciplinary, robotic approach.\nOBJECTIVE:\nThis study aimed to assess the functional outcomes of robotic surgery for patients undergoing resection of deep endometriosis involving the bowel.\nDESIGN:\nRetrospective cohort review.\nSETTINGS:\nA single academic tertiary institution.\nPATIENTS:\nPatients with endometriosis of the bowel undergoing multidisciplinary resection between January 1, 2018, and October 1, 2023.\nMAIN OUTCOME MEASURES:\nA survey assessing functional outcomes on a Numeric Rating Scale preoperatively and at multiple points postoperatively.\nRESULTS:\nOf 92 eligible patients, 41 completed a preoperative survey and at least one postoperative survey. Among these 41 patients, overall pain improved postoperatively from 5.3 ± 2.7 (Numeric Rating Scale) to a nadir of 1.6 ± 1.9 at 6 months and 2.3 ± 3.0 at 12 months (p < 0.001). Preoperative pain at ovulation (mean 4.2 Numeric Rating Scale ± 3.7), pre-period pain (4.9 ± 3.5), period pain (5.7 ± 3.6) and post-period pain (3.3 ± 3.3) all decreased to a mean of 1 at 12 months postoperatively (p < 0.001). The proportion of patients reporting pain impacting work decreased from 88% preoperatively to <40% postoperatively (p < 0.001). The proportion of patients happy with their bowel function increased from 39% preoperatively to 63.2% at 1 month, 80.0% at 6 months, and 69.2% at 12 months postoperatively (p = 0.014).\nLIMITATIONS:\nOnly 31.7% of patients responded to their 12-month survey, tertiary care center, low diversity in patient demographics, retrospective design.\nCONCLUSION:\nIn this cohort of patients undergoing multi-disciplinary robotic excision for advanced endometriosis involving the bowel, patients reported significantly improved pain and quality of life measures. See Video Abstract.","source_license":"public-domain-us","license_restricted":false}