RESUMO
We reviewed the English literature regarding laparoscopic surgery during pregnancy and found that of 518 reported procedures, the most common was cholecystectomy (45%), followed by adnexal surgery (34%), appendectomy (15%), and other operations (6%). We add six cases to this list; three cholecystectomies, an adnexal procedure, and two for abdominal pain. Thirty-three percent were performed in the first trimester, 56% in the second, and 11% in the third trimester. This review demonstrates a definite trend, indicating that laparoscopy in pregnancy appears to be safe when performed by experienced practitioners. (J Am Assoc Gynecol Laparosc 6(3):347-351, 1999)
Assuntos
Dor Abdominal/cirurgia , Colelitíase/cirurgia , Laparoscopia/métodos , Cistos Ovarianos/cirurgia , Complicações na Gravidez/cirurgia , Resultado da Gravidez , Dor Abdominal/diagnóstico , Adulto , Colelitíase/diagnóstico , Feminino , Humanos , Laparoscopia/efeitos adversos , Cistos Ovarianos/diagnóstico , Gravidez , Complicações na Gravidez/diagnóstico , Prognóstico , Resultado do TratamentoRESUMO
The development of laparoscopic surgery in gynecology and general surgery has greatly advanced over the past decade, and recently has been successfully performed in pregnancy. In the English literature we found that of the 518 cases reported (mean age 32 years) the most common was for cholecystectomy (45%), followed by operations on the adnexae (34%), appendectomy (15%) and others (6%). To these we add 3 cases of cholecystectomy and 1 of an adnexal tumor. Of all the reported cases, 33% were performed in the 1st trimester, 56% in the 2nd and 11% in the 3rd. This review demonstrates a definite trend to laparoscopy in pregnancy. It appears to be safe when performed by experienced surgeons, but further studies addressing safety of laparoscopic surgery during pregnancy are needed to reach definitive conclusions.
