Laparoscopic Cholecystectomy in Pregnancy

Costantino, George N.; Vincent, Gregory J.; Mukalian, Gregory G.; Kliefoth, William L.

doi:10.1089/lps.1994.4.161

Cited by 49 publications

(25 citation statements)

References 9 publications

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“…Concerns included teratogenicity in the first trimester and preterm delivery during the second and third trimester. Direct uterine trauma, decreased uterine blood flow due to the pneumoperitoneum, and toxic narcotics drugs are possible causes [22][23][24]. The second trimester is considered the safest period to perform any surgery [25] because the uterus, due to its small volume, is less susceptible to traumatic injuries.…”

Section: Resultsmentioning

confidence: 99%

“…Complications such as fetal loss and premature labor do occur, but can be kept around 5% in the second trimester with the use of appropriate techniques. Guidelines were developed to ensure no increases in morbidity for the pregnant patient and to ensure that the safety of the fetus was not jeopardized [23,35,36].…”

Section: Resultsmentioning

confidence: 99%

“…The gravid patient should be monitored carefully for oxygenation and hemodynamic status. Arterial blood gases and maternal end tidal CO 2 should be obtained frequently Administration of tocolytic agents and perioperative monitoring of fetal heart tones should be routinely performed [23].…”

Section: Resultsmentioning

confidence: 99%

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Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Halkic

Tempia-Caliera

Ksontini

et al. 2006

Langenbecks Arch Surg

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Background Laparoscopic surgery during pregnancy is a challenging procedure that most surgeons are reluctant to perform. The objective of this study was to evaluate whether laparoscopic appendectomy and cholecystectomy is safe in pregnant women. The management of these situations remains controversial. We report a single center study describing the successful management of 16 patients during pregnancy. Methods More than 3,356 laparoscopic procedures were performed in our institutions between May 1990 and June 2005. Sixteen of these patients were operated on in the second and third trimester between 22 and 32 weeks of estimated gestational age. We performed 11 laparoscopic appendectomies and 5 laparoscopic cholecystectomies. We also reviewed the management and operative technique used in these patients. Results In this study, the laparoscopic appendectomy or cholecystectomy was performed successfully in all patients. Three patients were in their second trimester, weeks 22, 23, and 25, and 13 were in the third trimester, weeks 27 (three patients), 28 (five patients), 31 (three patients), and 32 (two patients). No maternal or fetal morbidity occurred. Open laparoscopy was performed safely in all patients and all patients delivered healthy babies.Conclusion From our experience laparoscopic management of appendicitis and biliary colic during pregnancy is safe, however the second trimester is preferable for laparoscopic cholecystectomy. Pregnancy is not a contraindication to the laparoscopic approach to appendicitis or symptomatic cholelithiasis. We believe that laparoscopic operations, when performed by experienced surgeons, are safe and even preferable for the mother and the fetus.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Halkic

Tempia-Caliera

Ksontini

et al. 2006

Langenbecks Arch Surg

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“…The mean age of the patients was 26 (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35) years. The mean gestational age at the time of LA was 17.6 weeks (4-33 weeks).…”

Section: Resultsmentioning

confidence: 99%

“…[20][21][22][23][24] Critics of laparoscopy in pregnant patients raise concerns over the possible effects of laparoscopic intervention on the developing fetus and emphasize that the limited literature regarding laparoscopic appendectomy is concerning. [25][26][27][28] The laparoscopic approach has several advantages over open technique. The position of the incision over the displaced appendix is no longer an issue with a minimally invasive approach.…”

Section: Discussionmentioning

confidence: 99%

Management of Acute Appendicitis in Pregnancy

Kapan¹,

Bozkurt²,

Turhan³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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Laparoscopy During Pregnancy

Curet

Allen²,

Josloff³

et al. 1996

Arch Surg

202

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Laparoscopic surgery in pregnant women significantly decrease hospitalization, decreases narcotic use, and quickens return to a regular diet when compared with open laparotomy in pregnant women. No significant differences between the 2 groups in perioperative morbidity or mortality were present. These data suggest that therapeutic laparoscopy during pregnancy in the first or second trimester is safe.

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Laparoscopic Cholecystectomy in Pregnancy

Cited by 49 publications

References 9 publications

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Management of Acute Appendicitis in Pregnancy

Laparoscopy During Pregnancy

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