Department of Surgery, Hospital Alemán of Buenos Aires, Av. Pueyrredon 1640, C1118AAT, Buenos Aires, Argentina.
Arch Gynecol Obstet. 2021 Dec;304(6):1535-1540. doi: 10.1007/s00404-021-06201-9. Epub 2021 Aug 25.
Laparoscopic appendectomy (LA) for acute appendicitis (AA) remains controversial during pregnancy. We aimed to determine surgical and obstetrical outcomes of LA in pregnant women.
Pregnant women who underwent LA for AA (G1) between 2006 and 2019 were included and matched by gender, age, white blood cells, ASA score, and presence of peritonitis in a 1:2 ratio with non-pregnant women who had undergone LA (G2). Demographics and surgical outcomes were compared between groups. Preterm delivery and fetal loss rate were also analyzed.
From a total of 2009 LA, 18 (0.9%) were included in G1 and 36 (1.8%) in G2. There were no intraoperative complications or converted surgeries. Length of hospital stay was longer in G1 (G1: 2.6 vs G2: 1.4 days, p < 0.01). There was no difference in overall morbidity and readmission rates. Fetal loss and preterm delivery rates were both 11%.
LA in pregnant women has similar intraoperative and postoperative outcomes as those achieved in non-pregnant patients. In addition, the laparoscopic approach does not seem to jeopardize obstetrical outcomes.
腹腔镜阑尾切除术（LA）治疗急性阑尾炎（AA）在妊娠期间仍存在争议。我们旨在确定 LA 在孕妇中的手术和产科结局。
将 2006 年至 2019 年间接受 LA 治疗的孕妇（G1）纳入研究，并按照性别、年龄、白细胞计数、ASA 评分和腹膜炎的存在情况，以 1:2 的比例与接受 LA 治疗的非孕妇（G2）进行匹配。比较两组患者的人口统计学和手术结果。还分析了早产和胎儿丢失率。
在总共 2009 例 LA 中，有 18 例（0.9%）被纳入 G1，36 例（1.8%）被纳入 G2。两组均无术中并发症或中转开腹手术。G1 的住院时间更长（G1：2.6 天 vs G2：1.4 天，p<0.01）。两组总体发病率和再入院率无差异。胎儿丢失率和早产率均为 11%。
LA 在孕妇中的术中及术后结局与非孕妇相似。此外，腹腔镜方法似乎不会危及产科结局。
