Fertility after colorectal resection for XXXX : results of a prospective study comparing laparoscopy with open surgery.

@entity1 @entity249 @entity46
OBJECTIVE: To determine whether the surgical route of colorectal resection for @entity46 is a determinant factor for fertility. DESIGN: Prospective study. SETTING: Tertiary-care university hospital. @entity1 (S): Fifty-two @entity1 with @entity46 were randomly assigned to laparoscopic or open surgery. INTERVENTION(S): Laparoscopically assisted vs. open colorectal resection. MAIN OUTCOME MEASURE(S): Evaluation of fertility outcomes spontaneously and after assisted reproductive therapy. RESULT(S): The mean follow-up was 29 months. Among the 28 @entity1 wishing to conceive, 11 (39.3%) became pregnant. Overall cumulative pregnancy rate at 52 months for these @entity1 was 45.1%. For @entity1 with or without @entity249 , the cumulative pregnancy rate was 37.6% and 55.6%, respectively, and the cumulative spontaneous pregnancy rate 13.3% and 36.5%, respectively. All the spontaneous pregnancies were observed in the laparoscopy group. CONCLUSION(S): This study demonstrates that spontaneous pregnancy is more frequent after laparoscopy compared with open surgery for colorectal @entity46 .
