# Totally intracorporeal colorectal anastomosis (TICA) after segmental colorectal resection for deep endometriosis: technical notes and case series

## TL;DR

This paper shows that a specific surgical technique for treating deep endometriosis in the bowel is safe and effective.

## Contribution

The study introduces and validates the use of totally intracorporeal colorectal anastomosis for treating deep endometriosis.

## Key findings

- TICA was performed in 30 out of 33 patients with deep endometriosis without major complications.
- The average surgery time was 282.83 minutes, and only 10% of patients had minor postoperative complications.
- TICA is a safe and feasible alternative for colorectal reconstruction after resection for deep endometriosis.

## Abstract

The aim of this study was to evaluate the safety and feasibility of totally intracorporeal colorectal anastomosis (TICA) in patients undergoing colorectal resection for the treatment of deep endometriosis (DE) affecting the bowel.

Between January 2021 and August 2024, 33 consecutive patients with DE treated with segmental colorectal resection were enrolled. In 30 patients, TICA was performed. Demographic, operative, and postoperative data were collected retrospectively.

The mean distance between the endometriotic nodule and the anal verge was 11.5 (7–18) cm. The mean operative time was 282.83 (190–512) minutes. No major intraoperative complications occurred. Three (10%) patients developed a minor (Clavien‒Dindo grade I/II) postoperative complication.

TICA is a safe and feasible technique and represents a valid alternative reconstruction method after colorectal resection for DE.