Nezhat F R, Tazuke S, Nezhat C H, Seidman D S, Phillips D R, Nezhat C R
Department of Gynecology and Obstetrics, Stanford University School of Medicine, California, USA.
JSLS. 1997 Jan-Mar;1(1):17-27.
To review the literature regarding the role of laparoscopy during pregnancy, particularly adnexal mass and non-obstetric surgery, incorporating the results of a series of 9 cases of laparoscopy during pregnancy at our centers.
A Medline search was performed to review the literature, and the reference lists provided by those articles were further explored for citations regarding laparoscopic adnexal surgery, appendectomy, and cholecystectomy. Our series of 9 patients consisted of pregnant patients with adnexal mass or acute abdomen who would otherwise have undergone exploratory laparotomy. Follow-up data for these 9 cases were collected by office visits, inquiry to the primary referring physicians, and telephone calls to the patient.
The literature search yielded 42 additional cases of operative pelvic laparoscopy and 51 cases of abdominal operative laparoscopy (cholecystectomy and appendectomy). The publications, particularly regarding cholecystectomy, were supportive of the laparoscopic approach during pregnancy. All of the patients in our series had favorable outcomes.
Advanced operative laparoscopy has been successfully performed for certain indications during pregnancy.
回顾关于腹腔镜检查在孕期作用的文献,特别是附件肿物和非产科手术方面,并纳入我们中心9例孕期腹腔镜检查的系列结果。
进行Medline检索以回顾文献,并进一步查阅这些文章提供的参考文献列表,以获取有关腹腔镜附件手术、阑尾切除术和胆囊切除术的引用文献。我们的9例患者系列包括患有附件肿物或急腹症的孕妇,否则她们会接受剖腹探查术。通过门诊随访、向首诊医生询问以及给患者打电话收集这9例患者的随访数据。
文献检索又得到42例盆腔手术腹腔镜检查病例和51例腹部手术腹腔镜检查病例(胆囊切除术和阑尾切除术)。这些出版物,特别是关于胆囊切除术的,支持孕期的腹腔镜手术方法。我们系列中的所有患者都有良好的结局。
对于孕期的某些适应证,已成功实施了先进的手术腹腔镜检查。