Shingo Ishida1, Naotsugu Yamashiro1, Satoshi Taga2, Koichi Yano2. 1Shinkomonji Hospital, 2Shinmizumaki hospital
Symptomatic cholelithiasis is common disease performed with laparoscopic cholecystectomy (LC). We will hesitate to operate if the patient is pregnant in the third trimester. Pregnant patients undergoing laparoscopic surgery have been reported increasingly. However, most case reports are confined to patients in the first and second trimester. We report a patient who underwent LC in the third trimester and review the relevant literature. A 26 -year-old woman in the third trimester (34w2d) of pregnancy was seen in the emergency department of our hospital with a history of upper abdominal pain. There was no problem in the course of pregnancy. The result of the examination proved to be attack of gallstone colic. She was hospitalized the same day and underwent LC the next day. The base of pregnancy uterus was 20cm above the navel. We needed to consider the surgical approach, for example inserting the first trocar under left hypochondrium. Operative duration was 63 minutes. She complained abdominal distension at postoperative day (POD) 1 and 2 but there was no abnormality in the fetus. She was discharged on POD 4. After that she gave birth to a healthy baby. LC in third trimester of pregnancy was safely performed with obstetrics back up.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87202
Program Number: P070
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster