Robotic Treatment of Colorectal Endometriosis

Bowel endometriosis is the presence of ectopic endometrial glands and stroma infiltrating intestinal wall causing bowel symptoms pain. When hormonal therapies fail, surgery becomes treatment choice nowadays a minimally invasive approach standard care. We usually adopt robotic three-trocar technique with 12-mm infraumbilical camera port, two 8-mm accesses one or laparoscopic ports. Eradication deep multidisciplinary involving gynecologists in all cases often colorectal surgeons urologists. Three techniques have been generally proposed for surgical endometriosis: rectal shaving, disc excision segmental resection. The first surgeries can be performed fully robotically. Segmental resection requires assistant trocars. main advantages are 3D view, stable platform, articulated instruments, better ergonomics surgeon. All these features could increase accuracy dissection compared to dissection, theoretically allowing long-term functional outcomes. drawbacks include longer operative time higher costs similar postoperative results.