Laparoscopic Cholecystectomy at Cesarean Section

Abstract

Objective: To study the outcome of laparoscopic cholecystectomy at the time of cesarean section. Materials and methods: Eight patients were subjected to laparoscopic cholecystectomy at the time of cesarean section. All of them were diagnosed with cholelithiasis at the first antenatal scan. Laparoscopic cholecystectomy was performed by a standard technique, after assessing the anatomy via the cesarean wound. Results: Laparoscopic cholecystectomy was combined with lower segment cesarean section (LSCS) under general anesthesia in all patients. Surgeries were completed in a mean operating time of 82 minutes. There were no intraoperative or major postoperative complications. No extra antibiotics or analgesics doses were needed. Patients were discharged on the third and the fourth postoperative day. Conclusion:A combination approach of laparoscopic cholecystectomy at the time of LSCS confers the benefits of minimal access for gallstone disease apart from being safe, effective, and well accepted. With an additional small port site incision, single anesthesia, and single hospital stay, the combined procedure confers valuable advantages in terms of time, hospital stay, cost, and convenience. It also prevents the possibility of developing acute cholecystitis while the patient is waiting for cholecystectomy apart from avoiding the separation of mother from newborn entailed by reoperation.

Post-cesarean section laparoscopic cholecystectomy: a case report

“…However, Mushtaque et al (2012) reported that 32 pregnant women were subjected to open cholecystectomy post-cesarean Sect [ 6 ]. In 2019, Mushtaque et al reported that eight women were subjected to laparoscopic cholecystectomy at the time of cesarean Sect [ 2 ].…”

“…The second most frequent surgical emergency during pregnancy, behind appendicitis, is acute cholecystitis [ 1 ]. Obstetric ultrasonography detects gallstones in 2–4% of pregnant women, while symptomatic cholelithiasis and cholecystitis during pregnancy only happen in 5–10 of every 10,000 gestational women [ 2 ]. Concurrent cholecystectomies at the time of cesarean section is cost-effective because it avoids rehospitalization and frequent exposure to anesthesia [ 2 , 3 ].…”

“…Obstetric ultrasonography detects gallstones in 2–4% of pregnant women, while symptomatic cholelithiasis and cholecystitis during pregnancy only happen in 5–10 of every 10,000 gestational women [ 2 ]. Concurrent cholecystectomies at the time of cesarean section is cost-effective because it avoids rehospitalization and frequent exposure to anesthesia [ 2 , 3 ]. Herein, the author reports that a pregnant woman complained of acute cholecystitis, and at the same sitting, she had a laparoscopic cholecystectomy accompanied by a lower segment cesarean section.…”

Post-cesarean section laparoscopic cholecystectomy: a case report

“…6 In 2019, Mushtaque et al reported that eight women were subjected to laparoscopic cholecystectomy at the time of cesarean section. 2 In symptomatic gallbladder disease in pregnancy, considering the short duration of pregnancy, patients should be treated conservatively until there is strong evidence of complications such as acute cholecystitis. 2&7 Laparoscopic surgery seems to be a safe alternative to open surgery during pregnancy and at the time of a cesarean section.…”

“…1 Obstetric ultrasonography detects gallstones in 2-4% of pregnant women, while symptomatic cholelithiasis and cholecystitis during pregnancy only happen in 5-10 of every 10,000 gestational women. 2 Concurrent cholecystectomy at the time of cesarean section is cost-effective because it avoids rehospitalization and frequent exposure to anesthesia. 2&3 Herein, the author reports that a pregnant woman complained of acute cholecystitis.…”