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Purpose <p>The aim of this study was to evaluate the safety and feasibility of totally intracorporeal colorectal anastomosis (TICA) in patients undergoing colorectal resection for the treatment of deep endometriosis (DE) affecting the bowel. </p> Methods <p>Between January 2021 and August 2024, 33 consecutive patients with DE treated with segmental colorectal resection were enrolled. In 30 patients, TICA was performed. Demographic, operative, and postoperative data were collected retrospectively.</p> Results <p>The mean distance between the endometriotic nodule and the anal verge was 11.5 (7–18) cm. The mean operative time was 282.83 (190–512) minutes. No major intraoperative complications occurred. Three (10%) patients developed a minor (Clavien‒Dindo grade I/II) postoperative complication.</p> Conclusion <p>TICA is a safe and feasible technique and represents a valid alternative reconstruction method after colorectal resection for DE.</p>

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Totally intracorporeal colorectal anastomosis (TICA) after segmental colorectal resection for deep endometriosis: technical notes and case series

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月6日

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  • Francesco Santullo,
  • Alessandra De Cicco Nardone,
  • Miriam Attalla El Halabieh,
  • Claudio Lodoli,
  • Carlo Abatini,
  • Federica Ferracci,
  • Federica Campolo,
  • Greta Benvenga,
  • Giovanni Scambia,
  • Fabio Pacelli,
  • Manuel Maria Ianieri

摘要

Purpose

The aim of this study was to evaluate the safety and feasibility of totally intracorporeal colorectal anastomosis (TICA) in patients undergoing colorectal resection for the treatment of deep endometriosis (DE) affecting the bowel.

Methods

Between January 2021 and August 2024, 33 consecutive patients with DE treated with segmental colorectal resection were enrolled. In 30 patients, TICA was performed. Demographic, operative, and postoperative data were collected retrospectively.

Results

The mean distance between the endometriotic nodule and the anal verge was 11.5 (7–18) cm. The mean operative time was 282.83 (190–512) minutes. No major intraoperative complications occurred. Three (10%) patients developed a minor (Clavien‒Dindo grade I/II) postoperative complication.

Conclusion

TICA is a safe and feasible technique and represents a valid alternative reconstruction method after colorectal resection for DE.