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[Laparoscopic cholecystectomy during pregnancy]

S Adamsen1, B Jacobsen, N Bentzon

  • 1Hillerød Sygehus, kirurgisk afdeling A.

Ugeskrift for Laeger
|July 12, 1993
PubMed
Summary
This summary is machine-generated.

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Laparoscopic cholecystectomy is safe during pregnancy, even in the second trimester. Careful surgical technique and monitoring ensure uncomplicated outcomes for both mother and fetus.

Area of Science:

  • Reproductive Medicine
  • Surgical Innovation
  • Maternal-Fetal Medicine

Background:

  • Traditionally, laparoscopic cholecystectomy was contraindicated during pregnancy.
  • Recent studies indicate successful procedures are possible.
  • This study reports two successful cases during the second trimester.

Observation:

  • Two pregnant patients underwent laparoscopic cholecystectomy with uneventful intraoperative and postoperative courses.
  • Both patients experienced subsequent uncomplicated obstetric outcomes.
  • The procedure necessitated specific considerations for surgical technique and patient monitoring.

Findings:

  • Successful laparoscopic cholecystectomy during pregnancy is achievable.
  • Key considerations include specialized surgical approaches, pneumoperitoneum management (10 mmHg), maternal CO2 monitoring, fetal surveillance, and analgesic selection.

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  • Intraoperative cholangiography is likely best avoided; the need for tocolytic therapy remains unclear.

    • Implications:

    • Laparoscopic cholecystectomy is a viable option for gallstone disease during pregnancy.
    • This approach may reduce maternal and fetal risks associated with open surgery.
    • Further research is needed to optimize perioperative management, including the role of tocolysis.