Geisler J P, Rose S L, Mernitz C S, Warner J L, Hiett A K
Department of Obstetrics and Gynecology, St. Vincent Hospitals and Health Services, Indianapolis, Indiana, USA.
JSLS. 1998 Jul-Sep;2(3):235-8.
To review the effect of non-gynecologic laparoscopic procedures performed during the second and third trimesters of pregnancy on pregnancy outcome.
A review of the patient log for the antenatal obstetrical unit was used to identify the patients in this series from January 1, 1997 to December 31, 1997. Medical records were then analyzed to identify estimated gestational age at surgery and delivery, type of delivery, use of tocolysis, and complications from surgery.
Nine patients were identified as having non-gynecologic laparoscopic surgery (without conversion to laparotomy) during the second or third trimester of pregnancy. The median estimated gestational age at surgery was 25 weeks (mean 24 weeks). The most common procedure performed was laparoscopic cholecystectomy (6 patients). Five patients received tocolysis after the initial procedure. All patients delivered at greater than or equal to 37 weeks estimated gestational age (median 38 weeks). No infants were admitted to the neonatal intensive care unit.
Laparoscopic procedures appear safe in second and third trimester pregnancy. In this study, laparoscopic cholecystectomies were performed as late as 34 weeks estimated gestational age without any adverse effects on pregnancy outcome.
回顾妊娠中期和晚期进行的非妇科腹腔镜手术对妊娠结局的影响。
查阅1997年1月1日至1997年12月31日产前产科病房的患者日志，以确定本系列中的患者。然后分析病历，以确定手术时和分娩时的估计孕周、分娩类型、是否使用宫缩抑制剂以及手术并发症。
9例患者被确定在妊娠中期或晚期接受了非妇科腹腔镜手术（未转为开腹手术）。手术时的估计孕周中位数为25周（平均24周）。最常进行的手术是腹腔镜胆囊切除术（6例）。5例患者在初次手术后接受了宫缩抑制剂治疗。所有患者均在估计孕周大于或等于37周时分娩（中位数为38周）。没有婴儿入住新生儿重症监护病房。
腹腔镜手术在妊娠中期和晚期似乎是安全的。在本研究中，腹腔镜胆囊切除术最晚在估计孕周34周时进行，对妊娠结局没有任何不良影响。
