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Laparoscopic appendectomy and cholecystectomy during pregnancy: six case reports
1Department of Medicine, Walter Reed Army Medical Center, Washington, D.C., USA.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 7, 1999
Summary
Laparoscopic surgery for appendicitis and cholecystitis is safe during pregnancy. This study found all patients and fetuses survived, with healthy infants, adding to evidence supporting these procedures in pregnant individuals.
Area of Science:
- Minimally invasive surgery
- Obstetrics and Gynecology
- Surgical innovation
Background:
- Historically, pregnancy was a contraindication for laparoscopic cholecystectomy and appendectomy.
- Advancements in laparoscopic techniques necessitate re-evaluating their safety during pregnancy.
- Controversy persists regarding the safety of laparoscopic procedures in pregnant patients.
Observation:
- A review of six pregnant patients undergoing laparoscopic cholecystectomy or appendectomy between 1992 and 1996.
- Post-procedure follow-up included patient and obstetrician consultations to assess pregnancy outcomes.
- All identified cases involved treatment for appendicitis or cholecystitis.
Findings:
- All six patients and their fetuses survived the laparoscopic procedures.
- Two patients experienced premature delivery, but it was unrelated to the timing of surgery.
- All infants were healthy postpartum, and one patient's elective abortion was also unrelated to the surgery.
Implications:
- This case series supports the growing body of evidence that laparoscopic cholecystectomy and appendectomy are safe during pregnancy.
- Minimally invasive surgical options can be considered for pregnant patients requiring treatment for appendicitis or cholecystitis.
- Further research can build upon these findings to establish definitive guidelines for laparoscopic surgery in pregnancy.