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Laparoscopic cholecystectomy at cesarean section. A new surgical option
M A Pelosi1, M A Pelosi, E Villalona
1Pelosi Women's Medical Center, Bayonne, New Jersey 07002, USA.
A 29-year-old woman with recurrent cholelithiasis in pregnancy and a history of previous cesarean section underwent elective repeat abdominal delivery combined with laparoscopic cholecystectomy under general anesthetic. A transverse suprapubic incision was employed for fetal extraction and for facilitating the placement of three upper abdominal laparoscopic cannulas. After closure of the laparotomy incision, a pneumoperitoneum was established, and the gallbladder was removed laparoscopically. The surgery was uneventful, and the patient was discharged on the third postoperative day.
A 29-year-old woman with recurrent cholelithiasis in pregnancy and a history of previous cesarean section underwent elective repeat abdominal delivery combined with laparoscopic cholecystectomy under general anesthetic. A transverse suprapubic incision was employed for fetal extraction and for facilitating the placement of three upper abdominal laparoscopic cannulas. After closure of the laparotomy incision, a pneumoperitoneum was established, and the gallbladder was removed laparoscopically. The surgery was uneventful, and the patient was discharged on the third postoperative day.
