Comparison of Laparoscopic Discoid Resection and Segmental Resection for Colorectal Endometriosis Using a Propensity Score Matching Analysis

Jayot A, Aude Jayot, Krystel Nyangoh Timoh, Nyangoh Timoh K, Sofiane Bendifallah, Bendifallah S, Marcos Ballester, Ballester M, Émile Daraï, Emile Darai, Darai E
Journal of Minimally Invasive Gynecology · 2017 · vol. 25(3) , pp. 440–446 · doi:10.1016/j.jmig.2017.09.019 · PMID:28987649 · W2761725275
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This study compared laparoscopic discoid and segmental resections for colorectal endometriosis using propensity score matching to evaluate surgical outcomes.

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Abstract

STUDY OBJECTIVE: Our primary endpoint was to compare the intra- and postoperative complications, whereas secondary endpoints were the occurrence of voiding dysfunction and evaluation of the quality or life of segmental and discoid resection in patients with colorectal endometriosis. DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: Tenon University Hospital in Paris. PATIENTS: Thirty-one 31 patients who underwent a conservative surgery and 31 patients who underwent. INTERVENTIONS: The 2 groups were compared using propensity score matching (PSM) analysis, with a median follow-up of 247 days (8.2 months). MEASUREMENTS AND MAIN RESULTS: Discoid colorectal resection was associated with a shorter operating time (155 vs 180 minutes, p = .03) and hospital stay (7 vs 8 days, p = .002) than segmental colorectal resection; however, a similar intra- and postoperative complication rate was found. A higher rate of postoperative voiding dysfunction was observed in the segmental resection group (19% vs 45%, p = .03) as well as duration of voiding dysfunction requiring bladder self-catheterization longer than 30 days (0 vs 22%, p = .005). CONCLUSION: Our PSM analysis suggests the advantages of discoid resection because it results in a similar surgical complication rate to segmental resection but with advantages in operating time, hospital stay, and voiding dysfunction.

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Condition tags

endometriosis

MeSH descriptors

Colonic Diseases Endometriosis Laparoscopy Rectal Diseases Adult Adult Colonic Diseases Colonic Diseases Digestive System Surgical Procedures Digestive System Surgical Procedures Digestive System Surgical Procedures Endometriosis Endometriosis Female Female Humans Humans Intraoperative Complications Intraoperative Complications Intraoperative Complications

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