Laparoscopic cholecystectomy in pregnancy

Laparoscopic versus open cholecystectomy in pregnancy: a systematic review and meta-analysis

“…Eleven studies with 10,632 patients (1219 open, 9413 laparoscopic) were included (Table 1) [18][19][20][21][22][23][24][25][26][27][28]. All studies examined populations from the United States of America and were retrospective comparative studies.…”

“…All studies examined populations from the United States of America and were retrospective comparative studies. Two studies were based on national databases [18,19], one study was state based database [20], while the remaining studies were single or multi-institution studies [21][22][23][24][25][26][27][28]. Data collection ranged between 1980 and 2012 with minimal or no overlap of data between the national, state and the institutional studies.…”

“…Mean maternal age was 25 years for LC and 26 years for OC (p = 0.36). Seven studies reported patients' trimester at the time of the surgery (161 patients) [21][22][23][24][25][26][27]. The majority of patients underwent surgery during the first and second trimesters with 44/161 (27.3 %), 102/161 (63.3 %) and 15/161 (9.3 %) in the first, second and third trimesters, respectively.…”

“…The majority of patients underwent surgery during the first and second trimesters with 44/161 (27.3 %), 102/161 (63.3 %) and 15/161 (9.3 %) in the first, second and third trimesters, respectively. Only four studies divided the trimester data into laparoscopic and open surgery [21,22,25,26]. Both LC and OC were performed more frequently in the first and second trimesters.…”

ERCP in Pregnancy- Is It Safe?

“…The consensus among surgeons is that the second trimester is the safest period to perform surgery during pregnancy, as there is a high rate of fetal loss in association with first trimester surgical intervention. 14 This risk has not been clearly shown with endoscopy, specifically ERCP. The potential risk of maternal pancreatitis affecting the fetus either iatrogenically or resulting from untreated choledocholithiasis is more significant.…”