Multidisciplinary Treatment for Thoracic and Abdominopelvic Endometriosis

Camran Nezhat, Jillian Main, Chandhana Paka, Azadeh Nezhat, Ramin E Beygui
JSLS : Journal of the Society of Laparoendoscopic Surgeons · 2014 · vol. 18(3) , pp. e2014.00312 · doi:10.4293/jsls.2014.00312 · PMID:25392636 · PMC4154426 · W2319230577
article OA: gold CC0 ⤵ 65 in-corpus citations
📄 Open PDF View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This retrospective case series evaluated 25 women treated with combined thoracoscopic and laparoscopic surgery for thoracic and abdominopelvic endometriosis, finding the multidisciplinary approach optimally addresses all affected areas in a single operation.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This retrospective institutional case series studied 25 consecutive women undergoing a combined multidisciplinary surgery that paired video-assisted thoracoscopic surgery with traditional laparoscopy for thoracic, diaphragmatic, and abdominopelvic endometriosis, with data collected by chart review from 2008–2013. Most patients had catamenial chest pain (80%), and all had pelvic endometriosis and diaphragmatic involvement, while pleural/chest wall and lung parenchyma disease were also frequently observed; pelvic pathology sampling was consistent with endometriosis for all abdominopelvic tissues, and diaphragm specimens were positive in the reported cases. The paper reports a largely successful perioperative course with two major postoperative complications (diaphragmatic hernia and vaginal cuff hematoma). Its main caveats are that it is a single-center, retrospective series without a control group and imaging was not routinely used in preoperative evaluation. This paper is centrally about endometriosis — specifically thoracic endometriosis syndrome treated with a combined thoracic-and-pelvic surgical approach in women with concomitant abdominopelvic endometriosis.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

BACKGROUND AND OBJECTIVES: Thoracic endometriosis is a rare form of extragenital endometriosis with important clinical ramifications. Up to 80% of women with thoracic endometriosis have concomitant abdominopelvic endometriosis, yet the surgical treatment is usually performed with separate procedures. This is the largest published series of the combination of video-assisted thoracoscopic surgery and traditional laparoscopy for the treatment of abdominopelvic and thoracic endometriosis. The objectives of this series are to further evaluate the manifestations of thoracic endometriosis, assess the multidisciplinary surgical approach, and discuss our institution's protocols. METHODS: This is a retrospective, institutional review board-approved case series of 25 consecutive women who underwent combined video-assisted thoracoscopic surgery and traditional laparoscopy for the treatment of abdominopelvic, diaphragmatic, and thoracic endometriosis from January 1, 2008, to September 30, 2013. All surgeries were performed at a tertiary referral center by the same primary surgeons. Data were collected by chart review. RESULTS: Twenty-five patients were included, with a mean age of 37.7 years. Eighty percent of patients had catamenial chest pain, and in 40% this was their only chest complaint. Shoulder pain was noted in 40% of patients, catamenial pneumothorax in 24%, and hemoptysis in 12%. One hundred percent of patients were found to have endometriosis in the pelvis, 100% in the diaphragm, 64% in the chest wall, and 40% in the parenchyma. There were 2 major postoperative complications: 1 diaphragmatic hernia and 1 vaginal cuff hematoma. CONCLUSION: Clinical suspicion and preoperative assessment are crucial in the diagnosis of thoracic endometriosis and allow for a multidisciplinary approach. The combination of video-assisted thoracoscopic surgery and traditional laparoscopy for the treatment of endometriosis optimally addresses the pelvis, diaphragm, and thoracic cavity in a single operation.

My notes (saved in your browser only)

Condition tags

endometriosisthoracic_endometriosis

MeSH descriptors

Endometriosis Laparoscopy Pelvis Thoracic Diseases Thoracic Surgery, Video-Assisted Adult Endometriosis Female Humans Laparoscopy Middle Aged Pelvis Retrospective Studies Thoracic Diseases Thoracic Surgery, Video-Assisted

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (31)

Cited by (50)

Source provenance

europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:18:10.358439+00:00
License: CC0 · commercial use OK