Table 3 Different laparoscopic bowel resection techniques depending on the degree of invasion [51]
From: Endometriosis: clinical features, MR imaging findings and pathologic correlation
Laparoscopic technique | Description | Indication |
|---|---|---|
Laparoscopic rectosigmoid shaving resection | Removal of the lesion only, followed by primary suture | Lesions <1 cm |
Laparoscopic “mucosal skinning” | Removal of both muscular layers followed by interrupted sutures | Plaques located on the anterior rectosigmoid wall |
Laparoscopic rectosigmoid discoid resection | Full thickness resection of the anterior bowel wall followed by two-layer suture | Single lesions <3 cm involving less than one third of the circumference |
Laparoscopic rectosigmoid segmental resection | Bowel resection followed by end-to-end anastomosis with sparing of mesenteric nerves | Multiple or bigger lesions determining bowel distortion |