Étude comparative : laparoscopie robot assistée versus cœlioscopie chez les patientes avec une endométriose vésicale

Conclusion Le traitement par laparoscopie robot assistée dans le traitement chirurgical de lésions d’endométriose vésicale semble similaire sur le risque de récidive par rapport à la cœlioscopie traditionnelle ainsi que sur les risques de complications per- et postopératoires. Objectives To compare robot-assisted laparoscopy (RL) and conventional laparoscopy (CL) in surgery for bladder endometriosis. Methods A retrospective study was conducted between January 2007 and December 2013, including patients with bladder endometriosis receiving at least a partial cystectomy by RL or CL. The primary endpoint was the presence of a radiological recurrence at bladder level. Results We included 15 patients in the RL group and 22 in the CL group. The median age was 29 years±7 years. The symptoms were similar in the 2 groups. Pre-surgical mapping of the lesions was carried out with MRI. Sixty percent of patients in the RL group vs 91% in the CL group had other associated endometriosis lesions, P =0.04. The median size of the bladder lesion was 30±8mm in the RL group vs 23±7mm in the CL group, P =0.03. The median operative time was 210 vs 225min, P =0.8. We did not find any significant difference in intraoperative and early and late postoperative complications between the 2 groups. The median length of stay was 5 days vs 6 days. The proportion of relapse was 20 vs 23%, P >0.05. Clinical improvement was similar between the groups, i.e. 93 vs 86%, P =0.6 and the p...
Source: Gynecologie Obstetrique and Fertilite - Category: OBGYN Source Type: research