Concurrent cesarean section and hand port-assisted laparoscopic cholecystectomy: a safe approach

Symptomatic gallstones are common in pregnancy. Historically, surgical management of this problem by laparoscopic cholecystectomy was deferred until after delivery and recovery. However, improved optics and tools for accessing the peritoneum make laparoscopic cholecystectomy concurrently with cesarean section an attractive option with minimal additional morbidity. We describe a new approach to laparoscopic cholecystectomy using a hand port concurrently with cesarean section.