Laparoscopic Excision of Pericardial and Diaphragmatic Endometriosis

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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

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Dr. Dong Bach Nguyen
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Dr. Sebastien Gilbert
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Dr. Kristina Arendas
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Dr. Caitlin Jago
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Dr. Sukhbir Sony Singh


University of Calgary