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Lotus Endometriosis Institute has announced robotic excision surgery for patients with advanced endometriosis, including Stage 3 and Stage 4 disease. Led by Dr. Steven Vasilev, the service is designed for complex cases where extensive disease, previous surgery, or involvement of surrounding organs can make surgical planning more challenging.
For more details, visit https://lotusendo.com/services/surgery-and-advanced-excision
The announcement comes as researchers continue to examine robotic techniques for complex endometriosis surgery. A 2026 systematic review and meta-analysis published in Minerva Obstetrics and Gynecology evaluated 36 studies involving Stage 3 and Stage 4 endometriosis and concluded that robotic surgery is a safe and viable approach, with outcomes broadly comparable to conventional laparoscopy.
Advanced endometriosis can involve the bowel, bladder, ureters, pelvic sidewall, diaphragm, and other structures, making surgeon experience particularly important. Patients evaluating an endometriosis excision surgeon may therefore consider experience with complex cases, advanced minimally invasive techniques, multidisciplinary coordination, and approaches to preserving organs and fertility when appropriate.
Lotus Endometriosis Institute uses robotic-assisted surgery for advanced excision, providing magnified three-dimensional visualization and articulated instruments for precise dissection in complex anatomy. Surgical planning is individualized according to disease location, previous procedures, imaging, symptoms, and the patient’s treatment priorities.
Dr. Vasilev is quadruple board-certified and brings more than 30 years of surgical experience, combining fellowship training in gynecologic oncology with extensive multidisciplinary and minimally invasive robotic surgery experience. His work focuses on endometriosis excision, including advanced and re-operative cases where disease may involve multiple organs or complex pelvic anatomy.
“Advanced endometriosis surgery requires more than access to sophisticated technology,” said Dr. Vasilev. “Experience with complex anatomy, careful surgical planning, and an understanding of each patient’s individual priorities are all important when determining the appropriate approach.”
For people with advanced endometriosis, finding the right surgical care can be especially important when the disease affects multiple organs or has returned after previous treatment. Access to experienced specialists can give patients more options for addressing complex disease while considering fertility, organ function, and quality of life.
About Lotus Endometriosis Institute
Lotus Endometriosis Institute provides advanced surgical and integrative care for individuals with endometriosis. Led by Dr. Steven Vasilev, M.D., the Institute combines minimally invasive and robotic excision surgery with personalized recovery planning.
More information is available at https://lotusendo.com
Lotus Endometriosis Institute

154 Traffic Way
Arroyo Grande
CA
93420
United States

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