Objective

To describe a stepwise approach to the laparoscopic excision of bladder endometriosis.

Design

Narrated surgical video.

Setting

Academic tertiary care hospital.

Patient(s)

Surgical footage was obtained from three patients who underwent surgery for bladder endometriosis. Institutional review board approval was not required in accordance with the Tri-Council Policy Statement of Canada, article 2.5.

Intervention(s)

Laparoscopic excision of bladder endometriotic nodules by partial cystectomy.

Main Outcome Measure(s)

Overview of the relevant anatomy, disease overview, surgical planning and perioperative care, and the approach to the excision of bladder endometriotic nodules.

Result(s)

The approach to excision of bladder endometriotic nodules can be standardized in six reproducible steps: cystoscopy with or without ureteral stent placement; abdominal survey and treatment of posterior compartment disease; bladder mobilization; partial bladder cystectomy under cystoscopic guidance; cystotomy closure; and water-leak test.

Conclusion(s)

The safe and complete excision of bladder endometriosis relies on the understanding of surgical anatomy, the multidisciplinary aspect of patient care, and the standardization of the surgical approach.

中文翻译：

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腹腔镜膀胱子宫内膜异位症逐步切除术

客观的

描述腹腔镜切除膀胱子宫内膜异位症的逐步方法。

设计

旁白的手术视频。

环境

学术三级护理医院。

耐心）

手术录像来自三名接受膀胱子宫内膜异位症手术的患者。根据加拿大三理事会政策声明第 2.5 条，不需要机构审查委员会批准。

干预措施

腹腔镜膀胱部分切除术切除膀胱子宫内膜异位结节。

主要观察指标）

相关解剖学概述、疾病概述、手术计划和围手术期护理，以及膀胱子宫内膜异位结节的切除方法。

结果）

膀胱子宫内膜异位结节的切除方法可以通过六个可重复的步骤进行标准化：膀胱镜检查加或不加输尿管支架；腹部检查和后室疾病的治疗；膀胱动员; 膀胱镜引导下膀胱部分切除术；膀胱切开术闭合；和漏水测试。

结论

膀胱子宫内膜异位症的安全和完全切除依赖于对手术解剖学的理解、患者护理的多学科方面以及手术方法的标准化。