{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T17:09:07Z","timestamp":1793725747435,"version":"4.6.1"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,3,10]],"date-time":"2020-03-10T00:00:00Z","timestamp":1583798400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,3,10]],"date-time":"2020-03-10T00:00:00Z","timestamp":1583798400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Intestinal endometriosis is rare and most frequently involves the rectum and sigmoid colon.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>Here, we report a case series of 5 patients who underwent laparoscopic resection for intestinal endometriosis. None of the patients developed postoperative complications, and all were discharged at 5\u20138\u2009days after surgery. The diagnosis of intestinal endometriosis is difficult to obtain before surgery. Only 2 of 5 patients were diagnosed preoperatively. Among 1 of the 2 patients, the symptoms at the time of menstruation were obvious. In patients with submucosal tumors, the preoperative diagnosis can be difficult. Additional imaging examinations at the time of menstruation might be useful for obtaining a diagnosis. D2 dissections were performed for 3 patients, because malignancy could not be ruled out as a preoperative diagnosis. The surgical findings of 1 patient did not appear to be endometriosis. Surgery for intestinal endometriosis usually encounters advanced pelvic adhesions and fibrosis. For patients undergoing sigmoidectomy, the mean operative time was 152\u2009min and mean blood loss was 10\u2009mL. For patients undergoing rectal resection, the mean operative time was 282\u2009min and mean blood loss was 17\u2009mL. Two cases had severe pelvic adhesions, and the residual rectum could not be straightened. Therefore, side-to-side anastomosis was performed. For intestinal endometriosis surgery, flexible planning for the anastomosis method used for residual intestine should be undertaken.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Laparoscopic surgery for intestinal endometriosis was safe but technically difficult, because of fibrosis and adhesions. An accurate diagnosis should be attempted based on the clinical symptoms, imaging findings, and intraoperative findings. The method used for anastomosis should be decided on a case-by-case basis.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s40792-020-00811-2","type":"journal-article","created":{"date-parts":[[2020,3,10]],"date-time":"2020-03-10T08:02:48Z","timestamp":1583827368000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Intestinal endometriosis treated by laparoscopic surgery: case series of 5 patients"],"prefix":"10.1186","volume":"6","author":[{"given":"Hiroka","family":"Kondo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasumitsu","family":"Hirano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshimasa","family":"Ishii","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoka","family":"Hara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nao","family":"Obara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liming","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Asari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Kato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeki","family":"Yamaguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,3,10]]},"reference":[{"key":"811_CR1","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1016\/j.jmig.2006.07.009","volume":"14","author":"IK Orbuch","year":"2007","unstructured":"Orbuch IK, Reich H, Orbuch M, et al. Laparoscopic treatment of recurrent small bowel obstruction secondary to ileal endometriosis. J Minim Inacasive Gynecol. 2007;14:113\u20135.","journal-title":"J Minim Inacasive Gynecol"},{"key":"811_CR2","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1111\/j.1471-0528.1960.tb09211.x","volume":"67","author":"CH Mcafee","year":"1960","unstructured":"Mcafee CH, Greer HL. Intestinal endometriosis: a report of 29 cases and a survey of the literature. J Obstet Gynecol Br Comm. 1960;67:539\u201355.","journal-title":"J Obstet Gynecol Br Comm"},{"key":"811_CR3","doi-asserted-by":"publisher","first-page":"453","DOI":"10.4065\/70.5.453","volume":"170","author":"PY Lu","year":"1995","unstructured":"Lu PY, Ory SJ. Endometriosis: current management. 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