Safety of laparoscopic surgery during pregnancy: a Korean nationwide population-based study

Lee, Ju-Hee; Choi, Ji Yoon; Kim, Yun Jin

doi:10.1007/s00464-022-09188-9

Cited by 4 publications

(3 citation statements)

References 25 publications

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“…There have been concerns about uteroplacental insu ciency with gas insertion, but several studies have shown no increase in uteroplacental insu ciency [11,12]. The results of this study are similar to those of previous studies in which the laparoscopic group had shorter operative times and hospital days, and a higher rate of preterm delivery within 30 days [13]. Although more tocolysis was required in the laparoscopic group, the duration of tocolysis used tended to be shorter (1.05 ± 3.11 days vs 4.16 ± 9.34 days, p-value = 0.054).…”

Section: Discussionsupporting

confidence: 85%

Increasing Trends of Laparoscopic Procedures in Non-obstetric Surgery during Pregnancy Over 17 Years at a Single Center

Na,

Roh,

Baek

et al. 2024

Preprint

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Objective This study aimed to examine the conditions that require surgery during pregnancy, how surgical methods change, and the characteristics of surgery by different trimesters. Methods and Materials A retrospective study conducted at Bundang Cha Hospital between January 2006 and June 2023 analyzed surgeries performed during pregnancy and compared laparoscopic and open approaches across the three trimesters of pregnancy. Additionally, general (appendicitis, cholecystitis) and gynecologic (heterotopic pregnancy, adnexal torsion) cases were compared. Results Among 36,181 delivery patients, 101(0.28%) underwent surgeries, including appendicitis (44.6%), cholecystitis (1.9%), heterotopic pregnancy (23.8 %), adnexal torsion (27.7%), and cancer (1.9 %). The laparoscopic group showed shorter operative time (41.5±19.3 vs. 57.9±33.9 min, p=0.009) and hospital stay (4.9±2.7 vs. 9.0±9.8 days, p=0.016). Heterotopic pregnancy (47.1%) and adnexal torsion (39.2%) were common in the first trimester, whereas appendicitis peaked in the second (80%) and third trimesters (66.7%). With the increasing use of assisted reproductive technology (ART), there has been an increase in the number of gynecological patients in the first trimester, leading to more laparoscopic surgeries. In general surgery, an increase in laparoscopic surgery was also observed in the second and third trimesters. Postoperative tocolysis was more frequent (51.1% vs. 3.8%, p<0.001) and of longer duration (4.6±8.8 vs. 0.1±0.6 days, p=0.001) after general surgical procedures. Conclusion Laparoscopic surgery during pregnancy offers several advantages, and the increase in ART has led to an increase in the number of laparoscopic procedures. Moreover, there is an increasing trend in laparoscopic surgery during the second and third trimesters of pregnancy.

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Section: Discussionsupporting

confidence: 85%

Increasing Trends of Laparoscopic Procedures in Non-obstetric Surgery during Pregnancy Over 17 Years at a Single Center

Na,

Roh,

Baek

et al. 2024

Preprint

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“…8 In a similar recent Korean study by Lee et al conducted on 2941 pregnant women who underwent appendectomy or cholecystectomy within 10 years, they concluded that laparoscopic surgery was feasible and safe without negative results after surgery, with the need for close monitoring of premature birth after surgery, especially for patients who underwent laparoscopic surgery in the first and third trimesters of pregnancy. 23 Through the results of our study, surgical management of symptomatic gallbladder disease in pregnant women has been beneficial and has contributed to the reduction of expected perinatal complications for pregnant women and infants.…”

Section: Discussionmentioning

confidence: 83%

Outcomes of Symptomatic Gallstone Disease in Pregnant Women: A Retrospective Study

2023

JPTCP

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Gallstone disease with advanced symptoms is one of the common abdominal emergencies during pregnancy and it is considered to be one of the most frequently reported non-obstetric surgical conditions in pregnant women. This study aimed to evaluate the outcomes of surgical cholecystectomy in pregnant women with symptoms of advanced gallstones. This is a retrospective analysis of 2814 pregnant women who attended various wards in government and private hospitals in the governorates of Diyala and Kirkuk in Iraq for more than 2 years, between February 2020 and June 2022. The hospital database was used to confirm the diagnosis of advanced gallstone symptoms in these pregnant women. The incidence of symptomatic gallstones in pregnant women, diagnosis and method of therapeutic management, cholecystectomy according to the pregnancy periods, and perinatal complications of patients according to therapeutic methods were determined. The results confirmed that out of 2814 pregnancies, only 126 (4%) had symptoms of gallstones. It was found that the majority of cases 67 (53%) were within the first trimester of pregnancy and the least 29 (23%) was observed in the second trimester. Acute cholecystitis was the generality 84 (67%) Symptomatic gallstone disease in pregnant women e2

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“…Laparoscopic surgery has emerged as a more favorable treatment option compared to conservative therapy 19,20 , owing to its superior pelvic visualization, reduced hospitalization time, minimized postoperative pain, and diminished interference with intrauterine pregnancy 21 , The prompt removal of ectopic gestational sacs via laparoscopy has been associated with improved pregnancy outcomes. Notably, laparoscopic surgery does not appear to elevate the risk of abortion in ongoing intrauterine pregnancies compared to laparotomy 22,23 . Thus, we advocate laparoscopic intervention for HP patients, with meticulous timing and expeditious surgical execution to mitigate the potential adverse effects on embryonic development.…”

Section: Discussionmentioning

confidence: 96%

Investigating Outcomes and Associated Risk Factors of Heterotopic Pregnancy Following In Vitro Fertilization-Embryo Transfer Cycles

Gao,

Dong,

Liu

et al. 2024

Preprint

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Research Question: To study the outcome of heterotopic pregnancy (HP) and related influencing factors after in vitro fertilization-embryo transfer (IVF-ET), and to provide clinical experience for the treatment of heterotopic pregnancy. Design: Observational study. Results Our data revealed a HP incidence of 1.27‰. Among the 66 patients with HP, 5 underwent conservative treatment (7.58%, 5/66) with a live birth rate of 25.00% (1/5). Laparoscopic surgery was performed on 61 cases (92.42%, 61/66), with a live birth rate of 77.05% (47/61). Further logistic regression analysis revealed that the average diameter of the intrauterine gestational sac prior to laparoscopic surgery, the absence of a fetal germ and fetal heartbeat within the intrauterine gestational sac, and an extended duration of laparoscopic surgery were risk factors affecting pregnancy outcomes (P < 0.05). Conclusion Laparoscopic surgery is an effective method for the treatment of HP, and laparoscopic ectopic resection of ectopic pregnancy lesion does not seem to affect the continuous pregnancy and live birth of the intrauterine gestational sac. The mean diameter of the intrauterine gestational sac on the day of surgery, the development of the intrauterine gestational sac, and the duration of surgery can affect the patient's pregnancy outcome.

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Safety of laparoscopic surgery during pregnancy: a Korean nationwide population-based study

Cited by 4 publications

References 25 publications

Increasing Trends of Laparoscopic Procedures in Non-obstetric Surgery during Pregnancy Over 17 Years at a Single Center

Increasing Trends of Laparoscopic Procedures in Non-obstetric Surgery during Pregnancy Over 17 Years at a Single Center

Outcomes of Symptomatic Gallstone Disease in Pregnant Women: A Retrospective Study

Investigating Outcomes and Associated Risk Factors of Heterotopic Pregnancy Following In Vitro Fertilization-Embryo Transfer Cycles

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