{
  "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.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Gynecology and Obstetrics, Klinikum Aschaffenburg-Alzenau, 63739 Aschaffenburg, Germany",
    "Department of Gynecology, Kurashiki Medical Center, Kurashiki 710-8522, Japan",
    "School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, 26129 Oldenburg, Germany"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Harald Krentel",
      "orcid": "0000-0002-1238-9207"
    },
    {
      "affs": [
        0
      ],
      "name": "Petra Klein"
    },
    {
      "affs": [
        0
      ],
      "name": "Mihai Constantin"
    },
    {
      "affs": [
        1
      ],
      "name": "Kiyoshi Kanno"
    },
    {
      "affs": [
        2
      ],
      "name": "Rudy Leon De Wilde"
    },
    {
      "affs": [
        0
      ],
      "name": "Petya Tanovska"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6bctpw6vfb3bd.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15218274",
  "fulltext_url": null,
  "id": "6bctpw6vfb3bd",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://www.mdpi.com/2077-0383/15/21/8274",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2743|Endometriosis Research and Treatment"
    ]
  ],
  "openalex": "W7223924296",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-23",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/6bctpw6vfb3bd.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:01Z",
      "native_id": "10.3390/jcm15218274",
      "source": "crossref",
      "url": "https://www.mdpi.com/2077-0383/15/21/8274"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2743|Endometriosis Research and Treatment",
      "subfield": "reproductive-child"
    }
  ],
  "title": "Simultaneous Single-Port Robotic Excision of Diaphragmatic Endometriosis and Mucosa-Sparing Nodulectomy in Rectal Endometriosis",
  "title_text": "Simultaneous Single-Port Robotic Excision of Diaphragmatic Endometriosis and Mucosa-Sparing Nodulectomy in Rectal Endometriosis",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:01Z",
  "url": "https://research.draconitic.com/paper/6bctpw6vfb3bd",
  "venue": "Journal of Clinical Medicine",
  "versions": []
}