Minimally invasive treatment of diaphragmatic endometriosis: a 15-year single referral center’s experience on 215 patients

Marcello Ceccaroni, Giovanni Roviglione, Antonino Farulla, Pietro Bertoglio, Roberto Clarizia, Andrea Viti, Daniele Mautone, Matteo Ceccarello, Anna Stepniewska, Alberto Claudio Terzi, Alberto Terzi
Surgical endoscopy · 2021 · vol. 35(12) , pp. 6807–6817 · doi:10.1007/s00464-020-08186-z · PMID:33398589 · W3120330796
article OA: closed CC0 ⤵ 14 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

This study analyzed 215 patients treated laparoscopically and via VATS for diaphragmatic endometriosis, developing a classification and algorithm to standardize surgical approaches based on lesion type.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

This 15-year single-referral-center study describes a consecutive series of 215 patients with diaphragmatic endometriosis treated using laparoscopy and, when needed, videothoracoscopy (VATS), with lesions classified as foci, plaques, or nodules and managed using a proposed standardized surgical algorithm. Most lesions were on the right hemidiaphragm (91%), with 62% foci, 11% plaques, and 27% nodules; when pleural involvement, diaphragmatic hernia, or thoracic-side lesions were present, VATS was performed alone or combined with laparoscopy, totaling 26 thoracic-related procedures. The authors report that surgical techniques were matched to lesion type, including argon beam coagulation/diathermocoagulation for foci, peritoneal stripping for plaques, and nodulectomy or full-thickness resection for nodules. The paper’s main limitation is that it is a retrospective single-center experience without an explicit comparison group, and it frames standardization as a way to reduce under- or overtreatment and complications rather than directly measuring outcomes against alternatives. This paper is centrally about endometriosis — it focuses on minimally invasive surgical management of diaphragmatic endometriosis and standardizing treatment by lesion type.

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Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Endometriosis Laparoscopy Diaphragm Diaphragm Female Humans Overtreatment Referral and Consultation

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