Robotic-Assisted Laparoscopic Management of Cesarean Scar Pregnancy

IF 3.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Journal of minimally invasive gynecology Pub Date : 2025-10-22 DOI:10.1016/j.jmig.2025.09.086

B. Lin , E. Crihfield

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引用次数: 0

Abstract

Study Objective

To present the case and surgical video of a robotic-assisted laparoscopic excision of a cesarean scar pregnancy at 13 weeks and 5 days gestation

Design

Case report and surgical video

Setting

Hospital

Patients or Participants

One patient

Interventions

37 yo G7P4115 at 11 weeks 2 days gestation with history of 5 prior term low transverse cesarean deliveries presents for initial prenatal care. At dating sonogram by maternal fetal medicine, a cesarean scar pregnancy is diagnosed at 12 weeks 4 days gestation. Patient undergoes robotic-assisted laparoscopic excision of cesarean scar pregnancy with dilation and curettage at 13 weeks and 5 days gestation.

Measurements and Primary Results

Robotic-assisted laparoscopic excision of cesarean scar pregnancy was completed successfully without intraoperative or postoperative complications. Use of bulldog clamps and vasopressin helps minimize blood loss. Use of curettage under laparoscopic guidance helps ensure complete removal of products of conception. Debridement and excision of scar helps ensure secure closure of defect.

Conclusion

Robotic-assisted laparoscopic excision of cesarean scar pregnancy at 13 weeks and 5 days gestation can be completed successfully with good outcomes by using intraoperative clamps and vasopressin, laparoscopic-guided curettage, and sufficient scar debridement and excision.

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剖宫产瘢痕妊娠的机器人辅助腹腔镜治疗

研究目的：报告一例妊娠13周5天机器人辅助腹腔镜下瘢痕妊娠剖宫产切除术的病例及手术视频设计病例报告及手术视频设置住院患者或参与者1例干预措施：妊娠11周2天，既往有5次足月低位横断面剖宫产史的患者进行初步产前护理。通过母胎医学的超声检查，在妊娠12周4天诊断为剖宫产瘢痕妊娠。患者在妊娠13周零5天接受机器人辅助腹腔镜剖宫产瘢痕妊娠扩张刮除术。测量结果和主要结果机器人辅助腹腔镜剖宫产瘢痕妊娠切除术成功完成，无术中或术后并发症。使用牛头犬钳和抗利尿激素有助于减少失血。在腹腔镜指导下使用刮宫有助于确保完全去除受孕产物。清创和切除疤痕有助于确保缺损的安全闭合。结论机器人辅助腹腔镜切除妊娠13周5天剖宫产瘢痕妊娠，术中应用钳夹及加压素，腹腔镜引导下刮除，瘢痕充分清创切除，可成功完成手术，效果良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of minimally invasive gynecology 医学-妇产科学

CiteScore

5.00

自引率

7.30%

发文量

272

审稿时长

37 days

期刊介绍： The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.