Department of Digestive Surgery, Tsuchiura Kyodo General Hospital, Ibaraki, Japan.
Department of Obstetrics and Gynecology, Tsuchiura Kyodo General Hospital, Ibaraki, Japan.
Asian J Endosc Surg. 2021 Jul;14(3):594-597. doi: 10.1111/ases.12907. Epub 2020 Dec 10.
Acute appendicitis during pregnancy may lead to increased maternal and fetal risks. Laparoscopic appendectomy is commonly performed during pregnancy. Compared with open appendectomy in pregnant women, laparoscopic appendectomy has shown non-inferior safety for pregnancy outcomes and superior safety for surgical outcomes. Over the last few decades, the occurrence of twin pregnancy has been increasing. Performing an operation on a patient with a twin pregnancy is more difficult than with a singleton pregnancy. Only a few operations of this kind have been reported. Here, we present a case of a 20-week twin pregnant woman who presented with acute appendicitis. Laparoscopic appendectomy was performed, and no maternal complications occurred. This report contributes to discussions on the safety of the laparoscopic approach for appendicitis during twin pregnancies.
妊娠期急性阑尾炎可能会增加母婴风险。妊娠期常施行腹腔镜阑尾切除术。与孕妇开腹阑尾切除术相比，腹腔镜阑尾切除术在妊娠结局方面安全性相当，在手术结局方面安全性更优。过去几十年中，双胎妊娠的发生率一直在增加。对双胎妊娠患者施行手术比单胎妊娠更具难度。仅有少数此类手术的报道。本文报告了一例 20 周的双胎妊娠孕妇，其因急性阑尾炎就诊。施行腹腔镜阑尾切除术，未发生母体并发症。本报告有助于讨论腹腔镜治疗双胎妊娠阑尾炎的安全性。
