Lemaire B M, van Erp W F
Department of Surgery, Deaconess Hospital, Eindhoven, The Netherlands.
Surg Endosc. 1997 Jan;11(1):15-8. doi: 10.1007/s004649900286.
Laparoscopic surgery is known for its many advantages, but the use of this modality during pregnancy is still under discussion.
The subjects in this discussion are the unknown influence of the pneumoperitoneum and the fear of damaging the uterus while inserting the Veress needle and trocars. In a review of recent literature describing laparoscopic surgery during pregnancy, no complications were seen. We performed four laparoscopic appendectomies and three laparoscopic cholecystectomies between 12 and 33 weeks estimated gestational age (EGA).
All pregnancies passed without complications and ended in at-term deliveries of healthy babies.
The risks, precautions to avoid them, and the safety of laparoscopic surgery during pregnancy are discussed in the light of our experience and reports in recent literature.
腹腔镜手术因其诸多优点而闻名，但孕期使用这种手术方式仍在讨论之中。
本次讨论的主题是气腹的未知影响以及在插入韦氏针和套管针时对损伤子宫的担忧。在对近期描述孕期腹腔镜手术的文献综述中，未见并发症。我们在估计孕周（EGA）12至33周期间进行了4例腹腔镜阑尾切除术和3例腹腔镜胆囊切除术。
所有妊娠均顺利进行，无并发症，最终足月分娩出健康婴儿。
根据我们的经验和近期文献报道，对孕期腹腔镜手术的风险、避免风险的预防措施及安全性进行了讨论。
