Department of Gynecological Surgery, CHU Estaing, EnCoV, IP, UMR 6 6602 CNRS, University Clermont Auvergne, Clermont-Ferrand, France (Drs. Bourdel, Fava, Chauvet, and Canis).
Department of Gynecological Surgery, CHU Estaing, EnCoV, IP, UMR 6 6602 CNRS, University Clermont Auvergne, Clermont-Ferrand, France (Drs. Bourdel, Fava, Chauvet, and Canis); Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy (Dr. Fava).
J Minim Invasive Gynecol. 2019 Nov-Dec;26(7):1224-1225. doi: 10.1016/j.jmig.2019.04.008. Epub 2019 Apr 10.
Laparoscopic resection of diaphragmatic endometriosis has the advantages of a minimally invasive approach [1]. The standardization and description of the technique are the main objectives of this video. We described the procedure in 10 steps to make it easier and safer.
A step-by-step video demonstration of the technique (Video 1).
A French university tertiary care hospital.
Patients with diaphragmatic endometriosis confirmed by magnetic resonance imaging [2]. The local institutional review board ruled that approval was not required for this video article because the video describes a technique and does not report a clinical case.
There are no guidelines on the surgical treatment of diaphragmatic endometriosis [3]. We propose a laparoscopic approach using a right lateral access with the patient in the left lateral decubitus position [4].
This video presents the procedure divided into the following 10 steps: step 1, set up; step 2, patient position; step 3, installation of the trocars; step 4, releasing the liver; step 5, exposure of the diaphragmatic endometriosis; step 6, making a diaphragmatic defect; step 7, exploring the thoracic cavity; step 8, resection of diaphragmatic endometriosis; step 9, inserting the suction catheter; and step 10, closing the diaphragmatic defect.
Standardization of laparoscopic resection of diaphragmatic endometriosis could make this procedure easier and safer to perform. The left lateral decubitus position helps to have complete exposure of the right diaphragmatic muscle and endometriosis. We presented 10 steps to help perform each part of the surgery in logical sequence, making the procedure ergonomic and easier to adopt and learn [5]. Standardization of laparoscopic techniques could help to reduce the learning curve.
腹腔镜下膈膜子宫内膜异位症切除术具有微创优势[1]。该技术的标准化和描述是本视频的主要目标。我们通过 10 个步骤来描述该过程，使其更简单、更安全。
技术的分步视频演示（视频 1）。
法国一所大学的三级护理医院。
经磁共振成像[2]证实患有膈膜子宫内膜异位症的患者。当地机构审查委员会裁定，由于该视频仅描述了一种技术，并未报告临床病例，因此不需要对此视频文章进行批准。
目前尚无针对膈膜子宫内膜异位症手术治疗的指南[3]。我们提出了一种腹腔镜方法，采用右侧侧卧位，患者左侧卧位[4]。
该视频介绍了以下 10 个步骤：步骤 1，设置；步骤 2，患者体位；步骤 3，安装 trocars；步骤 4，释放肝脏；步骤 5，暴露膈膜子宫内膜异位症；步骤 6，制造膈膜缺陷；步骤 7，探查胸腔；步骤 8，切除膈膜子宫内膜异位症；步骤 9，插入吸引导管；步骤 10，关闭膈膜缺陷。
腹腔镜下膈膜子宫内膜异位症切除术的标准化可以使该手术更简单、更安全。左侧卧位有助于完全暴露右侧膈肌和子宫内膜异位症。我们介绍了 10 个步骤，以帮助按逻辑顺序执行手术的每个部分，使手术更符合人体工程学，更容易采用和学习[5]。腹腔镜技术的标准化有助于减少学习曲线。
