Effects of different types of endometriosis on digestive function after laparoscopic surgery
WU Wangfei
XIA Shuyu
Abstract：Objective To explore the impact of laparoscopic surgery on digestive function in patients with different clinicopathological types of endometriosis(EMs).Methods Clinical data were collected from 115 patients diagnosed with EMs by laparoscopy from December 2018 to December 2022.According to the clinicopathological classification,the patients were divided into peritoneal endometriosis(PEM)group(n=35),ovarian endometrioma(OMA)group(n=37),and deep infiltrating endometriosis(DIE)group(n=43).General patient information was collected,and pain conditions were assessed using Visual Analogue Scale(VAS)at 6 and 12 months after surgery.Postoperative changes in digestive function were compared among the three groups using Gastrointestinal Quality of Life Index(GIQLI)and Knowles-Eccersley-Scott Symptom Questionnaire(KESS).Results The three groups of subjects showed no significant differences in general information,ensuring comparability.The operative time of OMA group was significantly longer than that of PEM group,while the operative time,blood loss,and hospital stay of DIE group were significantly higher than those of the other two groups(P＜0.01).In the DIE group,88.37％of patients underwent intestinal surgery,which was significantly higher than that in the other two groups(P＜0.01).The incidence of postoperative complications was low in the three groups,with no statistical significance(P＞0.05).The DIE group had lower preoperative GIQLI scores and higher KESS scores,indicating poorer gastrointestinal function.Postoperative GIQLI and KESS scores in the DIE group were significantly different from the other two groups(P＜0.01).There were no significant differences in VAS scores among the three groups before and 12 months after surgery,but the DIE group showed significantly lower GIQLI and KESS scores at 1 year after surgery compared with the PEM and OMA groups(P＜0.01).Conclusion EMs patients with different clinicopathological types exhibit differences in digestive function after laparoscopic surgery,and the digestive function of DIE group is the most severely impaired,requiring more attention and intervention.
Keywords：endometriosischronic pelvic painlaparoscopic surgeryGastrointestinal Quality of Life IndexKnowles-Eccersley-Scott Symptom Questionnaire
Publication Date：2024-08-28
Online Publishing Date：2026-08-26(First online date of this platform, not the publication date of the document)
Pages：5( 920-924 )