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| 篇名 |
Appendectomy during Pregnancy: Comparison of Laparoscopic and Open Appendectomy |
| 作者 |
Wen-Ching Wang, Shiuh-Inn Liu, Nan-Hua Chou, Cheng-Chung Tsai,Being-Whey Wang, I-Shu Chen, Ming-Hsin Yeh, Yu-Chia Chen, King-Tong Mok |
| 卷期/出版年月 |
37卷5期 (2004/10) |
| 頁次 |
201-206 |
| 摘要 |
Objectives: Acute appendicitis is the most common non-obstetric surgical emergency during pregnancy, although the incidence of acute appendicitis during pregnancy is low. There are still no accepted guidelines concerning the safety of laparoscopic appendectomy during pregnancy. In this retrospective study, we evaluated the safety and outcome of laparoscopic appendectomy compared with open appendectomy in pregnant women during the same period. The results revealed that laparoscopic appendectomy in pregnant women is as safe as open appendectomy and requires less narcotic consumption.
Methods: Records of 12 pregnant patients who underwent surgery with clinical
diagnosis of acute appendicitis from 1990 to 2003 were reviewed retrospectively.
Results: During this period, there were 9888 deliveries and the incidence of acute appendicitis during pregnancy was 0.12%. A total of twelve patients had pathologically proven acute appendicitis. Three patients were in the first trimester, three in the second trimester, and six in the third trimester. Laparoscopic appendectomy was performed in 5 patients. There was no uterine injury or spontaneous abortion in either the open appendectomy or the laparoscopic appendectomy group. The laparoscopic appendectomy group had lower narcotic agent consumption. There was no significant difference concerning time of procedure, hospital days, rate of preterm labor, or Apgar score at the 1st and 5th minutes.
Conclusions: Laparoscopic appendectomy in pregnant women is as safe as open
appendectomy and has lower narcotic agent consumption. Patients undergoing
laparoscopic appendectomy have the same benefits that are noted in non-pregnant
patients undergoing the same procedure. |
| 關鍵詞 |
appendicitis, laparoscopic appendectomy, pneumo-peritoneum, pregnancy |
| 分類 |
Original Articles |
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