Patel Sujal G, Veverka Thomas J
Deparment of Surgery, Saginaw Cooperative Hospitals, Inc., Saginaw, Michigan, USA.
Curr Surg. 2002 Jan-Feb;59(1):74-8. doi: 10.1016/s0149-7944(01)00482-2.
Since the start of laparoscopic cholecystectomy, a debate about its use in the gravid patient has remained controversial. Concerns about the morbidity and mortality in the mother and fetus through all trimesters have been expressed. The objective of this retrospective review was to further evaluate the safety of laparoscopic cholecystectomy in the pregnant patient.
At Covenant Health Care-Cooper Campus and Harrison Campus in Saginaw, Michigan, 10 cholecystectomies in pregnant patients were performed from 1995 to April 1998. Eight of these patients were done with laparoscopy, and 2 were done through the open technique.
No mortality or significant morbidity occurred in the laparoscopic group. However, the open group did have a fetal mortality.
Our study showed that laparoscopic cholecystectomy can be performed safely in the pregnant patient in the first 2 trimesters. This is consistent with the findings in the current world literature.
自腹腔镜胆囊切除术开展以来，关于其在妊娠患者中的应用一直存在争议。人们对孕期各阶段母亲和胎儿的发病率及死亡率表示担忧。本回顾性研究的目的是进一步评估妊娠患者行腹腔镜胆囊切除术的安全性。
1995年至1998年4月期间，在密歇根州萨吉诺市的圣约健康医疗中心库珀校区和哈里森校区，对10例妊娠患者实施了胆囊切除术。其中8例患者采用腹腔镜手术，2例采用开放手术。
腹腔镜组未发生死亡或严重并发症。然而，开放手术组出现了胎儿死亡。
我们的研究表明，妊娠前两期的患者行腹腔镜胆囊切除术是安全的。这与当前世界文献中的研究结果一致。
