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Laparoscopic cholecystectomy during pregnancy.

N J Soper¹, J G Hunter, R H Petrie

¹Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110.

Surgical Endoscopy

|May 1, 1992

Summary

This summary is machine-generated.

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Pregnancy is linked to gallstones. Laparoscopic cholecystectomy (gallbladder removal) can be safely performed during pregnancy for symptomatic gallstones, with careful monitoring and precautions.

Area of Science:

Gastroenterology
Obstetrics & Gynecology
Minimally Invasive Surgery

Background:

Gallstones (cholelithiasis) are common during pregnancy.
Symptomatic gallstones can lead to acute cholecystitis or biliary colic.
Laparoscopic cholecystectomy is a standard treatment but often contraindicated in pregnancy.

Observation:

Five pregnant patients in their second trimester with symptomatic cholelithiasis underwent laparoscopic cholecystectomy.
Perioperative tocolytic medications were used in two patients.
Open laparoscopy or alternative port insertion sites were employed in all cases.

Findings:

Laparoscopic cholecystectomy was successful in all five patients.
Postoperative hospitalization was brief (24-48 hours).

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Three patients had uncomplicated term deliveries; two continued normal pregnancies.

Implications:

Laparoscopic cholecystectomy is a safe and effective treatment option for symptomatic gallstones during pregnancy.
Specific precautions and careful patient monitoring are crucial for successful outcomes.
This approach can avoid open surgery and potentially reduce maternal and fetal risks.