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Laparoscopic cholecystectomy in pregnancy

S C Elerding1

  • 1Sunnyside Community Hospital, Washington.

American Journal of Surgery
|May 1, 1993
PubMed
Summary

Laparoscopic cholecystectomy is safe during pregnancy, even in later trimesters. This gallbladder surgery allows women to carry to term and deliver healthy babies, offering cost savings over medical management.

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Area of Science:

  • Surgical Innovation
  • Obstetrics and Gynecology
  • Gastroenterology

Background:

  • Pregnancy often complicates gallbladder disease, with traditional management sometimes posing risks.
  • Laparoscopic cholecystectomy was previously considered contraindicated during pregnancy.

Purpose of the Study:

  • To evaluate the safety and efficacy of laparoscopic cholecystectomy during pregnancy.
  • To assess outcomes for both mother and fetus following the procedure.

Main Methods:

  • Five pregnant patients with cholecystitis underwent laparoscopic cholecystectomy.
  • Single-film intraoperative cholangiography was utilized.
  • Patient and fetal outcomes were monitored throughout gestation and delivery.

Main Results:

  • All five patients successfully underwent laparoscopic cholecystectomy.
  • Pregnancies progressed to term with normal deliveries.
  • No adverse outcomes were reported for mothers or neonates.

Conclusions:

  • Laparoscopic cholecystectomy is a safe and viable option for treating cholecystitis during pregnancy.
  • The procedure can be performed across all trimesters with favorable maternal and fetal outcomes.
  • This approach offers potential cost benefits compared to non-surgical management.

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