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Open Laparoscopic Cholecystectomy in Pregnancy

 

作者: Robert Hart,   Afshin Tamadon,   Robert Fitzgibbons,   Alfred Fleming,  

 

期刊: Surgical Laparoscopy and Endoscopy  (OVID Available online 1993)
卷期: Volume 3, issue 1  

页码: 13-16

 

ISSN:1051-7200

 

年代: 1993

 

出版商: OVID

 

关键词: Laparoscopic cholecystectomy;Pregnancy;Open laparoscopy;Fetal monitoring;Laparoscopy

 

数据来源: OVID

 

摘要:

SummarySince the introduction of laparoscopic cholecystectomy in 1989, surgeons worldwide have become familiar with the basic techniques involved. Pregnancy has previously been considered an absolute contraindication to laparoscopic cholecystectomy; however, we present three cases of laparoscopic cholecystectomy in pregnancy. If conservative management fails, this method, far from being absolutely contraindicated, should be the procedure of choice in pregnancy, as it has already become in nonpregnant patients. Transvaginal ultrasound allows continuous monitoring of fetal heart rate in all stages of pregnancy after the 7th week. The open (Hasson) technique should be strongly considered if accidental uterine puncture and potential fetal damage are to be avoided.

 

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