Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

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Serval ID
serval:BIB_E5E3B26D9823
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy
Journal
Langenbecks Archives of Surgery
Author(s)
Halkic  N., Tempia-Caliera  A. A., Ksontini  R., Suter  M., Delaloye  J. F., Vuilleumier  H.
ISSN
1435-2443 (Print)
Publication state
Published
Issued date
2006
Volume
391
Number
5
Pages
467-471
Notes
DA - 20060831
LA - eng
PT - Journal Article
SB - IM
Abstract
BACKGROUND: Laparoscopic surgery during pregnancy is a challenging procedure that most surgeons are reluctant to perform. The objective of this study was to evaluate whether laparoscopic appendectomy and cholecystectomy is safe in pregnant women. The management of these situations remains controversial. We report a single center study describing the successful management of 16 patients during pregnancy. METHODS: More than 3,356 laparoscopic procedures were performed in our institutions between May 1990 and June 2005. Sixteen of these patients were operated on in the second and third trimester between 22 and 32 weeks of estimated gestational age. We performed 11 laparoscopic appendectomies and 5 laparoscopic cholecystectomies. We also reviewed the management and operative technique used in these patients. RESULTS: In this study, the laparoscopic appendectomy or cholecystectomy was performed successfully in all patients. Three patients were in their second trimester, weeks 22, 23, and 25, and 13 were in the third trimester, weeks 27 (three patients), 28 (five patients), 31 (three patients), and 32 (two patients). No maternal or fetal morbidity occurred. Open laparoscopy was performed safely in all patients and all patients delivered healthy babies. CONCLUSION: From our experience laparoscopic management of appendicitis and biliary colic during pregnancy is safe, however the second trimester is preferable for laparoscopic cholecystectomy. Pregnancy is not a contraindication to the laparoscopic approach to appendicitis or symptomatic cholelithiasis. We believe that laparoscopic operations, when performed by experienced surgeons, are safe and even preferable for the mother and the fetus
Keywords
Appendectomy/methods/Cholecystectomy,Laparoscopic/Cholelithiasis/surgery/Female/Humans/Pregnancy/Pregnancy Complications/Pregnancy Trimester,Second/Pregnancy Trimester,Third/Retrospective Studies/Treatment Outcome
Pubmed
Web of science
Open Access
Yes
Create date
18/02/2008 13:08
Last modification date
01/10/2019 6:20
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