Cesarean scar pregnancies confer serious risk and severe morbidity. Appropriate management is the key to preventing complications. Although expectant management is usually contraindicated, the ideal combination of medical or surgical treatments is unclear and must be tailored to the patient’s preferences and stability, provider skill, and the available resources. In this article, we present a combined medical and surgical approach that was successfully employed for the termination and excision of a cesarean scar pregnancy at 12 weeks’ gestation in a patient desiring uterine preservation. A video is included, demonstrating the surgical steps of a laparoscopic approach used to safely resect the pregnancy and cesarean delivery scar with minimal blood loss. The management technique described can be utilized to effectively resolve cesarean scar pregnancy, to possibly decrease the risk of recurrence, and preserve future fertility with a minimally invasive outpatient surgery.

剖宫产疤痕妊娠具有严重的风险和严重的发病率。适当的管理是预防并发症的关键。虽然期待治疗通常是禁忌的，但药物或手术治疗的理想组合尚不清楚，必须根据患者的偏好和稳定性、提供者的技能和可用资源进行调整。在本文中，我们介绍了一种内科和外科相结合的方法，该方法成功地用于一位希望保留子宫的患者在妊娠 12 周时终止和切除剖宫产瘢痕妊娠。包括一段视频，展示了腹腔镜方法的手术步骤，该方法用于安全切除妊娠和剖宫产疤痕，且失血最少。