Robotic Surgery for Bladder Endometriosis: A Systematic Review and Approach

Introduction: Women with bladder endometriosis often present with more advanced stages of endometriosis. Robotic surgery has emerged as a promising approach to the management of bladder endometriosis. This systematic review aims to analyze the current literature on robotic surgery for bladder endometriosis and describe our systematic approach to surgical treatment. Methods: This review followed the PRISMA guidelines, which ensured a comprehensive and transparent approach to selecting and evaluating relevant studies. We conducted a thorough literature search to identify studies that investigated the use of robotic surgery for bladder endometriosis. Relevant databases were searched, and inclusion and exclusion criteria were applied to select eligible studies. Data extraction and analysis were performed to assess the outcomes and effectiveness of robotic surgery for the treatment of bladder endometriosis. Results: We did not find any randomized clinical trials with the use of robotics in the treatment of bladder endometriosis. We found only two retrospective studies comparing robotic surgery with laparoscopy, and another retrospective study comparing robotic surgery, laparoscopy, and laparotomy in the treatment of bladder endometriosis. All the other 12 studies were solely case reports. Despite the lack of robust evidence in the literature, the studies demonstrated that robotic surgery is feasible and is associated with reduced postoperative pain, shorter hospital stays, and faster recovery. Conclusions: The utilization of robotic technology is a promising option for the surgical management of bladder endometriosis. We advocate a surgical systematic approach for the robotic treatment of bladder endometriosis. Robotic technology, with its 3D vision, instrumental degrees of freedom, and precision, particularly in suturing, may provide potential benefits over traditional laparoscopy.

[1]  P. Ohtonen,et al.  Robotic versus laparoscopic surgery for severe deep endometriosis: protocol for a randomised controlled trial (ROBEndo trial) , 2022, BMJ Open.

[2]  X. Guan,et al.  Cystoscopic-Guided Robotic Resection of Bladder Trigone Endometriosis Nodule with Ureteral Preservation. , 2022, Journal of minimally invasive gynecology.

[3]  G. Moawad,et al.  Robot-Assisted Surgery for Endometriosis Current and Future Perspectives. , 2022, Surgical technology international.

[4]  P. Collinet,et al.  Robot-assisted laparoscopy for deep infiltrating endometriosis: a retrospective French multicentric study (2008–2019) using the Society of European Robotic Gynecological Surgery endometriosis database , 2022, Archives of Gynecology and Obstetrics.

[5]  A. Wattiez,et al.  Pathogenesis Based Diagnosis and Treatment of Endometriosis , 2021, Frontiers in Endocrinology.

[6]  A. Bahadur,et al.  Robot-assisted partial cystectomy for bladder endometriosis: dual approach involving cystoscopy and robotic surgery , 2021, BMJ Case Reports.

[7]  A. Agostini,et al.  Surgical management of urinary tract endometriosis: a one-year longitudinal multicenter pilot study in 31 French hospitals (by the FRIENDS group). , 2021, Journal of minimally invasive gynecology.

[8]  Yong Wei,et al.  Application of transvesical robotic laparoendoscopic single-site surgery for an endometrial cyst over the urinary bladder. , 2021, Asian journal of surgery.

[9]  E. Mayo-Wilson,et al.  The PRISMA 2020 statement: an updated guideline for reporting systematic reviews , 2020, BMJ.

[10]  V. Cela,et al.  Robotic surgery for endometriosis , 2020 .

[11]  M. Carini,et al.  Robotic treatment for urinary tract endometriosis: preliminary results and surgical details in a high-volume single-Institutional cohort study , 2020, Surgical Endoscopy.

[12]  L. Hummelshoj,et al.  Recommendations for the surgical treatment of endometriosis. Part 2: deep endometriosis †‡¶ , 2020, Human reproduction open.

[13]  A. Green,et al.  The Central Autonomic Network and Regulation of Bladder Function , 2019, Front. Neurosci..

[14]  C. Marfori,et al.  Effect of postoperative partial bladder filling after minimally invasive hysterectomy on postanesthesia care unit discharge and cost: a single‐blinded, randomized controlled trial , 2019, American journal of obstetrics and gynecology.

[15]  E. Huri,et al.  Basic clinical retroperitoneal anatomy for pelvic surgeons , 2018, Turkish journal of obstetrics and gynecology.

[16]  L. Wiegand,et al.  Robotic Excision of Deep Infiltrating Endometriosis of the Uretero-Vesical Junction , 2018, Journal of minimally invasive gynecology.

[17]  F. Zattoni,et al.  The Role of Lymph Node Dissection in the Treatment of Bladder Cancer , 2018, Front. Surg..

[18]  S. Yeh,et al.  Pregnancy following robot-assisted laparoscopic partial cystectomy and gonadotropin-releasing hormone agonist treatment within three months in an infertile woman with bladder endometriosis. , 2018, Taiwanese journal of obstetrics & gynecology.

[19]  V. Obias,et al.  Multidisciplinary Resection of Deeply Infiltrative Endometriosis. , 2017, Journal of minimally invasive gynecology.

[20]  P. Vercellini,et al.  Bladder Endometriosis: A Systematic Review of Pathogenesis, Diagnosis, Treatment, Impact on Fertility, and Risk of Malignant Transformation. , 2017, European urology.

[21]  E. Soto,et al.  Laparoscopy vs. Robotic Surgery for Endometriosis (LAROSE): a multicenter, randomized, controlled trial. , 2017, Fertility and sterility.

[22]  F. Nezhat,et al.  Perioperative Outcomes of Robotic Assisted Laparoscopic Surgery Versus Conventional Laparoscopy Surgery for Advanced-Stage Endometriosis , 2014, JSLS : Journal of the Society of Laparoendoscopic Surgeons.

[23]  Riccardo Rosati,et al.  Robotic surgery for deep endometriosis: a paradigm shift , 2014, The international journal of medical robotics + computer assisted surgery : MRCAS.

[24]  F. Montorsi,et al.  Diagnosis and Treatment of Bladder Endometriosis: State of the Art , 2012, Urologia Internationalis.

[25]  C. Crispi,et al.  Double circular stapler technique for bowel resection in rectosigmoid endometriosis. , 2011, Journal of minimally invasive gynecology.

[26]  C. Nezhat,et al.  Robotic-Assisted Laparoscopic Treatment of Bowel, Bladder, and Ureteral Endometriosis , 2011, JSLS : Journal of the Society of Laparoendoscopic Surgeons.

[27]  S. Silverman,et al.  Urinary bladder: normal appearance and mimics of malignancy at CT urography , 2011, Cancer imaging : the official publication of the International Cancer Imaging Society.

[28]  S. Banerjee,et al.  Transvaginal sonography vs. clinical examination in the preoperative diagnosis of deep infiltrating endometriosis , 2011, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.

[29]  M. Abrão,et al.  Endometriosis of the ureter and bladder are not associated diseases. , 2009, Fertility and sterility.

[30]  D. Samadi,et al.  Robotic-assisted laparoscopic partial bladder resection for the treatment of infiltrating endometriosis. , 2008, Journal of minimally invasive gynecology.

[31]  F. Kim,et al.  Asymptomatic rectal and bladder endometriosis: a case for robotic-assisted surgery. , 2008, The Canadian journal of urology.

[32]  A. Antonelli,et al.  Clinical aspects and surgical treatment of urinary tract endometriosis: our experience with 31 cases. , 2006, European urology.

[33]  M. Duvdevani,et al.  Combined transurethral and laparoscopic partial cystectomy and robot-assisted bladder repair for the treatment of bladder endometrioma. , 2006, Journal of minimally invasive gynecology.

[34]  G. Scambia,et al.  Terminologia Anatomica versus unofficial descriptions and nomenclature of the fasciae and ligaments of the female pelvis: a dissection-based comparative study. , 2005, American journal of obstetrics and gynecology.

[35]  L. Fedele,et al.  Long-term follow-up after conservative surgery for bladder endometriosis. , 2005, Fertility and sterility.

[36]  P. Koninckx,et al.  Deep endometriosis: A consequence of infiltration or retraction or possibly adenomyosis externa? , 1992, Fertility and sterility.

[37]  L. Guria,et al.  Morphogenesis of urinary bladder in human fetuses , 2019, Journal of Medical Society.

[38]  L. Marpeau,et al.  Management of deep infiltrating endometriosis by laparoscopic route with robotic assistance: 3-year experience. , 2017, Journal of gynecology obstetrics and human reproduction.

[39]  C. Rubod,et al.  [Partial cystectomy for bladder endometriosis: Robotic assisted laparoscopy versus standard laparoscopy]. , 2016, Gynécologie Obstétrique & Fertilité.

[40]  C. Crispi,et al.  Endometriosis of the round ligament of the uterus. , 2012, Journal of minimally invasive gynecology.

[41]  L. Zini,et al.  [Early evaluation of the feasibility of robot-assisted laparoscopy in the surgical treatment of deep infiltrating endometriosis]. , 2011, Gynécologie Obstétrique & Fertilité.

[42]  A. Aguilera Bazan,et al.  Urinary tract endometriosis: clinical, diagnostic, and therapeutic aspects. , 2009, Urology.

[43]  M. Vacher-Lavenu,et al.  Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification. , 2003, Human reproduction.