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Cholecystectomy in pregnancy.

L M Hill, C E Johnson, R A Lee

    Obstetrics and Gynecology
    |September 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Cholecystectomy during pregnancy is rare, occurring in about 1 in 1259 deliveries. Surgery for gallbladder colic is typically performed in the second trimester with a low risk of complications.

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    Area of Science:

    • Obstetrics and Gynecology
    • Surgical Gastroenterology

    Background:

    • Gallbladder disease can occur during pregnancy, necessitating surgical intervention in some cases.
    • Cholecystectomy is a common surgical procedure for symptomatic gallstones.

    Purpose of the Study:

    • To evaluate the incidence and outcomes of cholecystectomy performed during pregnancy.

    Main Methods:

    • Retrospective review of 20 gravid patients who underwent cholecystectomy between 1955 and 1971.
    • Analysis of surgical timing, indications, and patient outcomes.

    Main Results:

    • Cholecystectomy was performed in 20 pregnant patients over 17 years, representing 0.079% of deliveries.
    • The primary indication was recurrent gallbladder colic, with surgery typically occurring between the 10th and 20th week of gestation.

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  • One spontaneous abortion occurred 42 days after surgery in a patient at 10 weeks gestation.

    • Conclusions:

    • Cholecystectomy during pregnancy is an uncommon procedure.
    • Surgical intervention for symptomatic gallbladder disease during pregnancy can be performed with a seemingly low rate of major adverse outcomes, although one case of spontaneous abortion was noted.