September 21, 2026 · Fertility and sterility · DOI: 10.1016/j.fertnstert.2026.09.007

Precision Surgery for Colorectal Deep Endometriosis: Strategies for Complete Excision Without Segmental Resection

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The authors aim to evaluate the effectiveness of robotic surgery combined with intraoperative ultrasound in achieving complete excision of colorectal deep endometriosis while avoiding segmental bowel resection. Their findings demonstrate that this approach allows for precise localization and real-time assessment of lesions, successfully preserving bowel integrity and reducing the risk of recurrence by enabling immediate re-excision of any residual disease. Overall, the study highlights the potential of this surgical strategy to optimize outcomes for patients with colorectal deep endometriosis.

Sonia Eskandarion, Jasmine Eliwa, Diana Encalada Soto, Robert D Bennett, Emad Mikhail

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