{"corpus_id":220653725,"paper_sha":"259f11e2e471194bb454dc5e11a70404e1ce2cd4","doi":"10.1016/j.bpobgyn.2020.05.012","arxiv_id":null,"pmid":32684433,"pmcid":null,"mag_id":3035103301,"dblp_id":null,"acl_id":null,"title":"Robotic treatment of bowel endometriosis.","year":2020,"publication_date":"2020-06-12","venue":"Best Practice & Research: Clinical Obstetrics & Gynaecology","journal":{"name":"Best practice & research. Clinical obstetrics & gynaecology","pages":null,"volume":null},"journal_issn":null,"journal_title":null,"publication_types":["Review","JournalArticle"],"pubmed_pub_types":["Journal Article","Review"],"s2_fields_of_study":["Medicine","Engineering"],"reference_count":38,"citation_count":17,"influential_citation_count":2,"is_open_access":false,"arxiv_categories":null,"arxiv_license":null,"arxiv_journal_ref":null,"mesh_headings":[{"d":"Adult","mj":false,"ui":"D000328"},{"d":"Aged","mj":false,"ui":"D000368"},{"d":"Endometriosis","mj":true,"qs":[{"q":"surgery","mj":false,"ui":"Q000601"}],"ui":"D004715"},{"d":"Female","mj":false,"ui":"D005260"},{"d":"Humans","mj":false,"ui":"D006801"},{"d":"Laparoscopy","mj":true,"ui":"D010535"},{"d":"Postoperative Complications","mj":false,"ui":"D011183"},{"d":"Rectal Diseases","mj":true,"qs":[{"q":"surgery","mj":false,"ui":"Q000601"}],"ui":"D012002"},{"d":"Robotic Surgical Procedures","mj":true,"ui":"D065287"},{"d":"Treatment Outcome","mj":false,"ui":"D016896"}],"chemicals":null,"comments_corrections":null,"source_flags":5,"s2_open_access_pdf_url":null,"s2_open_access_landing_url":null,"s2_open_access_license":null,"s2_open_access_status":null,"pmc_open_access_pdf_url":null,"pmc_open_access_landing_url":null,"pmc_open_access_license":null,"pmc_open_access_status":null,"unpaywall_open_access_pdf_url":null,"unpaywall_open_access_landing_url":null,"unpaywall_open_access_license":null,"unpaywall_open_access_status":null,"abstract":"Endometriosis describes a condition with the presence of ectopic endometrial glands and stroma outside the endometrial cavity that affects up to 15% of reproductive-aged women. Of women affected with endometriosis, 3.8-37% will have endometriosis involving the bowel, primarily the rectosigmoid colon. While medical management is often recommended as a first-line therapy, it is not curative, and surgery is often required as an adjunct for the management of symptoms. Minimally invasive surgery has become the standard of care for managing these patients. The use of robotic-assisted laparoscopy offers benefits that may allow surgeons to perform these challenging surgical cases using a minimally invasive technique. For lesions that affect the colon, there are three primary techniques used for removal which include: 1) rectal shaving, 2) discoid excision and 3) segmental resection. The decision to pursue one approach over another is largely dependent on the number of lesions present, a lesion's size and depth of invasion as well as the involved circumference of the bowel. The available evidence of using robotic-assisted laparoscopy in cases of bowel endometriosis is limited in the literature. In this review, we will summarize the role of robotic-assisted laparoscopy in the management of bowel endometriosis.","claims":[{"public_id":"cl_06396caaef2afa5daab430b3c6ff7436","status":"active","text":"Available evidence for robotic-assisted laparoscopy in bowel endometriosis is limited.","confidence":0.94,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/claims/cl_06396caaef2afa5daab430b3c6ff7436"},{"public_id":"cl_4292ef7fd0dcd02b76fb165bdbcca871","status":"active","text":"Rectal shaving, discoid excision, and segmental resection are the three primary techniques used for removal of colorectal lesions in bowel endometriosis.","confidence":0.96,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/claims/cl_4292ef7fd0dcd02b76fb165bdbcca871"},{"public_id":"cl_fd535ed0dac99df94f1b71d93ada4ba7","status":"active","text":"Robotic-assisted laparoscopy offers benefits that may allow surgeons to manage challenging bowel endometriosis cases using a minimally invasive technique.","confidence":0.9,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous (12632b8b5f)","roles":["extraction"],"url":"https://sah.borca.ai/u/12632b8b5f"}],"url":"https://sah.borca.ai/claims/cl_fd535ed0dac99df94f1b71d93ada4ba7"},{"public_id":"cl_cea6326249853a294bc2355935db2634","status":"active","text":"Selection among the three surgical techniques depends largely on the number of lesions, lesion size and depth of invasion, and the involved bowel circumference.","confidence":0.93,"contributors":[{"id":1,"public_id":"12632b8b5f","public_label":"Anonymous 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