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Laparoscopic cholecystectomy during pregnancy: three case reports.
T Chamogeorgakis1, E Lo Menzo, R D Smink
1The Lankenau Hospital, Wynnewood, Pennsylvania 19096, USA.
Summary
Laparoscopic cholecystectomy is safe and feasible for pregnant patients during the second and early third trimesters. This gallbladder surgery avoids complications for both mother and baby.
Area of Science:
- Reproductive Medicine
- Surgical Innovation
- Maternal-Fetal Medicine
Background:
- Gallbladder disease, specifically biliary colic, can occur during pregnancy.
- Surgical interventions for pregnant patients require careful consideration of maternal and fetal well-being.
Observation:
- Three pregnant patients underwent laparoscopic cholecystectomy for biliary colic in the second and early third trimesters.
- Literature review on laparoscopic cholecystectomy during pregnancy was also conducted.
Findings:
- All patients experienced uneventful recoveries and delivered full-term, healthy babies.
- Laparoscopic cholecystectomy is contraindicated in the first trimester due to organogenesis.
- Late third-trimester surgery is technically challenging due to uterine size.
Implications:
- Laparoscopic cholecystectomy is a safe and feasible option for treating symptomatic gallstones during the second and early third trimesters of pregnancy.
- This approach minimizes surgical risks and ensures positive outcomes for maternal and fetal health.
- Further research may explore optimal timing and techniques for this procedure.