Laparoscopic cholecystectomy during pregnancy. Review of anesthetic management, surgical considerations

Surg Endosc. 1996 May;10(5):511-5. doi: 10.1007/BF00188397.


Background: We present our experience with laparoscopic cholecystectomy in pregnant patients, with consideration of the physiological changes of pregnancy affecting anesthetic and surgical management.

Methods: We reviewed the medical records of all pregnant patients undergoing laparoscopic surgery at Brigham and Women's Hospital between January 1, 1991 and April 30, 1995.

Results: Laparoscopic cholecystectomy was performed without complication in ten patients (gestational age 9-30 weeks). Details of anesthetic and surgical management are described. The anesthetic and surgical implications of pregnancy-associated physiological changes in the gastrointestinal, respiratory, cardiovascular, and central nervous system are reviewed.

Conclusions: With appropriate attention to the altered physiology of pregnancy, laparoscopic cholecystectomy can be performed safely and effectively during pregnancy.

MeSH terms

  • Adult
  • Anesthesia / methods*
  • Cholecystectomy, Laparoscopic*
  • Cholecystitis / surgery*
  • Female
  • Hemodynamics
  • Humans
  • Pregnancy
  • Pregnancy Complications / physiopathology
  • Pregnancy Complications / surgery*
  • Premedication
  • Respiratory Mechanics