Clinical analysis of laparoscopic deep infiltrating endometriosis surgery in 225 cases

doi:10.3877/cma.j.issn.1674-6899.2020.05.004

Abstract

Abstract:

Objective

To discuss the efficacy of laparoscopic deep infiltrating endometriosis surgery.

Methods

Clinical data of 225 cases who underwent laparoscopic deep infiltrating endometriosis surgery in Chinese PLA General Hospital between Jan. 2008 and Jul. 2018 were analyzed retrospectively. Clinical features, perioperative outcomes, recurrence and natural conception rate were analyzed.

Results

Among the 225 cases, 178 cases(79.1%) had dysmenorrhea, 33 cases (14.7%)had dyspareunia, 1 case(0.4%) had hematochezia, 2 cases (0.9%)had hematuresis, 8 cases (3.6%)had constipation, 6 cases (2.7%)had diarrhea, 42 cases (18.7%)had no symptom. Average blood loss was(94.4±191.6) ml, average operative time was (85.5±51.0) min, average hospital stay was (8.4±4.9) d. Complication rate was 1.3%. Follow up period ranged from 1-144 months(Median follow-up time 57 months ), 24 months recurrence rate was 8.4%, 60 months recurrence rate was 16.4%, overall recurrence rate was 19.6%. Natural conception rate was 67.5%.

Conclusions

Laparoscopic deep infiltrating endometriosis surgery is safe and effective for deep infiltrating endometriosis.

Key words: Laparoscopic surgery, Deep infiltrating endometriosis

Zhen Li, Nina Zhang, Mingyang Wang, Xiaoyan Zhang, Mingxia Ye, Chenglei Gu, Lian Li, Yuanguang Meng. Clinical analysis of laparoscopic deep infiltrating endometriosis surgery in 225 cases[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(05): 270-273.

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References 18

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