妊娠期腹腔镜阑尾切除术和胆囊切除术：6例病例报告
Laparoscopic appendectomy and cholecystectomy during pregnancy: six case reports.
作者信息
Thomas S J, Brisson P
机构信息
Department of Medicine, Walter Reed Army Medical Center, Washington, D.C., USA.
出版信息
JSLS. 1998 Jan-Mar;2(1):41-6.
BACKGROUND
Pregnancy was once considered a contraindication to laparoscopic cholecystectomy and appendectomy. The progression of laparoscopic techniques has resulted in a continued reassessment of laparoscopic procedures during pregnancy. There still exists some controversy as to the safety of laparoscopic procedures during pregnancy. This paper reviews our series of six pregnant patients treated laparoscopically for appendicitis and cholecystitis.
METHODS
Charts were reviewed of all pregnant patients who underwent laparoscopic cholecystectomy or appendectomy at St Clare's Hospital Schenectady, New York between 1992 and 1996. Six patients were identified. Patients and obstetricians were contacted to investigate the results of the pregnancy.
RESULTS
All patients and fetuses survived the procedure. Two patients delivered prematurely but remote from the operative procedure. All infants were healthy postpartum. One patient underwent an elective abortion as she had planned. The abortion was remote from the surgical procedure.
CONCLUSION
Our series adds to the growing evidence that laparoscopic cholecystectomy and laparoscopic appendectomy can be performed safely during pregnancy.
背景
妊娠曾被视为腹腔镜胆囊切除术和阑尾切除术的禁忌证。腹腔镜技术的发展促使人们对妊娠期腹腔镜手术不断进行重新评估。关于妊娠期腹腔镜手术的安全性仍存在一些争议。本文回顾了我们对6例因阑尾炎和胆囊炎接受腹腔镜治疗的妊娠患者的治疗情况。
方法
回顾了1992年至1996年期间在纽约斯克内克塔迪圣克莱尔医院接受腹腔镜胆囊切除术或阑尾切除术的所有妊娠患者的病历。共确定了6例患者。与患者和产科医生联系以调查妊娠结果。
结果
所有患者和胎儿均在手术后存活。2例患者早产，但与手术时间间隔较长。所有婴儿产后均健康。1例患者按计划进行了选择性流产。流产与手术时间间隔较长。
结论
我们的系列研究进一步证明，妊娠期可安全地进行腹腔镜胆囊切除术和腹腔镜阑尾切除术。
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