Study Objective: The aim of this study was to describe surgical outcomes after different types of colorectal surgery for bowel endometriosis and to present the feasibility of LscPR in bowel endometriosis. Design: Retrospective analysis. Setting: Gynecological department at the Jinhua Maternity and Child Health Care Hospital. Interventions and Measurements: From January 2014 to November 2024, we recruited 320 patients with bowel endometriosis who underwent LscShR (n=108), LscDR (n=70), LscSgR (n=73), or LscPR (n=69). Main Results: Over a median follow-up of 4.6 years (range: 1– 10 years), one patient rejected subsequent treatment in the LscShR and LscSgR groups, respectively, and two patients were lost to follow-up in the LscDR group; a total of 316 women completed the follow-up questionnaire. The total complication rate was highest in the LscSgR group (16.67%), followed by the LscDR (5.88%), LscPR (4.35%), and LscShR (1.87%) groups, with a statistically significant difference ( P = 0.002). BE recurrence was seen only in the LscShR (12.15%) and LscDR (7.35%) groups ( P 0.05) groups, and the parameter was significantly lower than that in the LscSgR group ( P 0.05), and significantly lower than those in the LscSgR group ( P < 0.05). Conclusion: Within the limitations of a retrospective study, our data suggest that LscPR is an effective approach for bowel endometriosis, associated with significant symptom improvement and fewer complications. Keywords: bowel endometriosis, deep endometriosis, LARS, preservation of mesentery segmental intestinal resection
Ji et al. (Sun,) studied this question.