Why the study?
Is laparoscopic cholecystectomy feasible in pregnant patients with refractory acute calculus cholecystitis?
Is laparoscopic cholecystectomy feasible in pregnant patients with refractory acute calculus cholecystitis?
Pregnancy should not be an absolute contraindication to laparoscopic cholecystectomy, and epidural anesthesia should be considered.
May support laparoscopic cholecystectomy feasibility in select pregnant patients; leaves open need for prospective safety data.
Acute calculus cholecystitis during pregnancy can be a difficult management problem. Two pregnant patients with cholecystitis refractory to conservative management underwent laparoscopic cholecystectomy at a community hospital. One patient was treated under epidural anesthesia. Pregnancy should not be an absolute contraindication to laparoscopic cholecystectomy, and epidural anesthesia should be considered.
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Vincent et al. (1994) studied this question.
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