Laparoscopic versus Open Appendectomy in Pregnancy.
- Author:
Hong Kyu JUNG
1
;
Jun Chul CHUNG
;
Gyu Seok CHO
;
Eung Jin SHIN
;
Chul Wan LIM
;
Hyung Chul KIM
;
Ok Pyung SONG
Author Information
1. Department of Surgery, Soonchunhyang University College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea. capcjc@hanmail.net
- Publication Type:Original Article
- Keywords:
Pregnancy;
Laparoscopic appendectomy;
Open appendectomy
- MeSH:
Appendectomy;
Appendicitis;
Birth Weight;
Humans;
Length of Stay;
Patient Selection;
Pregnancy;
Retrospective Studies
- From:Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2010;13(2):54-58
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Although laparoscopic appendectomy is a safe and effective procedure for the management of acute appendicitis, laparoscopic appendectomy in pregnancy has not been considered the preferred procedure until recently. The aim of this study was to evaluate the safety of laparoscopic appendectomy (LA) during pregnancy as compared with the control group that underwent open appendectomy (OA) during pregnancy. METHODS: The clinical data of all the patients who underwent appendectomy during pregnancy at our hospital between 2006 and 2009 was collected and retrospectively analyzed. Nineteen patients underwent LA and 11 patients underwent OA. The general features of the cases, the outcomes and the fetal status were evaluated. RESULTS: There were no significant differences in the length of the procedure, the hospital stay and the complication rate between the LA and OA groups. All the laparoscopic procedures were completed without conversion to an open operation. There were no significant differences between the two groups for premature delivery, the delivery type and the birth weight. There were no fetal losses or abortions. CONCLUSION: Our results demonstrate that LA was not inferior to OA in terms of the operative outcomes, the complication and both the fetal and maternal safety during 1st and 2nd trimesters of pregnancy. LA could be safely performed even in the 1st and 2nd trimesters of pregnancy using careful patient selection, safe operative techniques and the appropriate application of instruments.
