Laparoscopic Excision of Pericardial and Diaphragmatic Endometriosis

Last updated:

Video Description

This video presents a five-step approach to the laparoscopic excision of pericardial and diaphragmatic endometriosis. Clinically, endometriosis affects the thoracic cavity in less than 1% of cases, most commonly involving the diaphragm and treated using a VATS approach.

Pericardial endometriosis is an even rarer entity, with only 4 case reports published to date. We present the case of a 35-year-old in order to illustrate the approach to a laparoscopic excision of diaphragmatic and pericardial endometriosis. In consultation with the

Thoracic team, she is consented for a completion surgery of thoracic endometriosis identified at a prior laparoscopy, symptomatic for right shoulder and mid-chest pain, and unresponsive to medical therapy. The surgical approach consists of 5 reproducible steps:

1. Upper abdominal survey

2. Liver mobilization

3. Excision of diaphragmatic and pericardial lesions

4. Intra-thoracic laparoscopic exploration

5. Closure of the diaphragmatic defect

Presented By

male doctor avatar
Dr. Dong Bach Nguyen
male doctor avatar
Dr. Sebastien Gilbert
Female doctor avatar
Dr. Kristina Arendas
Female doctor avatar
Dr. Caitlin Jago
male doctor avatar
Dr. Sukhbir Sony Singh

Affiliations

University of Calgary