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Laparoscopic cholecystectomy in pregnancy
G N Costantino1, G J Vincent, G G Mukalian
1Lower Bucks Hospital, Bristol, Pennsylvania.
Journal of Laparoendoscopic Surgery
|April 1, 1994
Summary
Laparoscopic cholecystectomy is a viable treatment for pregnant patients with acute calculus cholecystitis unresponsive to conservative care. Epidural anesthesia is a safe option, and pregnancy is not an absolute contraindication.
Area of Science:
- Obstetrics and Gynecology
- Surgical Gastroenterology
Background:
- Acute calculus cholecystitis presents management challenges in pregnancy.
- Conservative management may fail, necessitating surgical intervention.
Observation:
- Two pregnant patients with refractory cholecystitis underwent laparoscopic cholecystectomy.
- One patient received epidural anesthesia during the procedure.
Findings:
- Laparoscopic cholecystectomy was successfully performed in both cases.
- Pregnancy did not preclude the use of laparoscopic cholecystectomy.
Implications:
- Laparoscopic cholecystectomy is a safe and effective option for acute calculus cholecystitis in pregnancy.
- Epidural anesthesia should be considered as a viable anesthetic choice for these procedures.