Work

Simultaneous Single-Port Robotic Excision of Diaphragmatic Endometriosis and Mucosa-Sparing Nodulectomy in Rectal Endometriosis

Year: 2026

Type: article

Abstract: The simultaneous appearance of symptomatic severe pelvic and diaphragmatic deep endometriosis represents a particular challenge in surgical treatment of the disease. We report a symptomatic patient with a history of six previous laparoscopic surgeries for endometriosis who underwent a single-port robotic-assisted complete excision of histopathologically confirmed endometriosis with combined mucosa-sparing rectal nodulectomy and full-thickness resection of the central right diaphragm, performed through a single 3 cm supraumbilical incision. The single-port robotic approach, recently introduced into gynecological minimally invasive surgery, enabled resection of two anatomically distant disease sites—the deep pelvis and the right hemidiaphragm—through one access port without repositioning of the port site. To the best of our knowledge, this is the first case report on simultaneous single-port robotic excision of diaphragmatic and rectal deep endometriosis.

Source: Journal of Clinical Medicine

DOI: 10.3390/jcm15218274

Authors: Harald Krentel, Petra Klein, Mihai Constantin, Kiyoshi Kanno, Rudy Leon De Wilde, Petya Tanovska

Institutions: Klinikum Aschaffenburg, Kurashiki Medical Center, Carl von Ossietzky Universität Oldenburg

Language: English

Topic: Endometriosis Research and Treatment

Subfield: Reproductive Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,137