Korean J Obstet Gynecol.  2011 May;54(5):236-240. 10.5468/KJOG.2011.54.5.236.

A comparison of laparoscopic versus open appendectomy during pregnancy

Affiliations
  • 1Department of Surgery, Dankook University College of Medicine, Cheonan, Korea.
  • 2Department of Obstetrics and Gynecology, Dankook University College of Medicine, Cheonan, Korea. yundan76@dankook.ac.kr

Abstract


OBJECTIVE
Laparoscopic appendectomy in pregnancy has not been considered the preferred procedure in appendicitis until recently. The aim of this study was to evaluate the safety of laparoscopic appendectomy during pregnancy as compared with open appendectomy during pregnancy.
METHODS
Between January 2003 and June 2010, 65 pregnant women underwent appendectomy for suspected acute appendicitis at the department of surgery, Dankook University Hospital. There were 49 patients in the open appendectomy group (OA group) and 16 patients in the laparoscopic group (LA group). We reviewed the charts of pregnant patients who went through an open and laparoscopic appendectomy.
RESULTS
There were no significant differences in the length of the surgery, the hospital stay and the complication rate between the LA and OA groups. There were no significant differences between the two groups for pregnancy outcome. There were no fetal losses or abortions.
CONCLUSION
Laparoscopic appendectomy is safe during pregnancy and is associated with good maternal and fetal outcome.

Keyword

Pregnancy; Acute appendicitis; Laparoscopic appendectomy; Open appendectomy

MeSH Terms

Appendectomy
Appendicitis
Female
Humans
Length of Stay
Pregnancy
Pregnancy Outcome
Pregnant Women

Cited by  1 articles

Factors Affecting Maternal and Fetal Outcomes of Non-Obstetric Surgery and Anesthesia during Pregnancy: a Retrospective Review of Data at a Single Tertiary University Hospital
Sooyoung Cho, Rack Kyung Chung, So Hee Jin
J Korean Med Sci. 2020;35(16):e113.    doi: 10.3346/jkms.2020.35.e113.


Reference

1. Mazze RI, Källén B. Appendectomy during pregnancy: a Swedish registry study of 778 cases. Obstet Gynecol. 1991. 77:835–840.
2. Andersson RE, Lambe M. Incidence of appendicitis during pregnancy. Int J Epidemiol. 2001. 30:1281–1285.
3. Jun YW, Jung H, Kim SJ, Jun KH, Chin HM, Park WB. Comparison of clinical outcomes between laparoscopic and open appendectomy: a retrospective analysis of 2,745 patients. J Korean Surg Soc. 2009. 77:320–325.
4. Katkhouda N, Mason RJ, Towfigh S, Gevorgyan A, Essani R. Laparoscopic versus open appendectomy: a prospective randomized double-blind study. Ann Surg. 2005. 242:439–448.
5. Pedersen AG, Petersen OB, Wara P, Rønning H, Qvist N, Laurberg S. Randomized clinical trial of laparoscopic versus open appendicectomy. Br J Surg. 2001. 88:200–205.
6. Gurbuz AT, Peetz ME. The acute abdomen in the pregnant patient. Is there a role for laparoscopy? Surg Endosc. 1997. 11:98–102.
7. Moreno-Sanz C, Pascual-Pedreno A, Picazo-Yeste JS, Seoane-Gonzalez JB. Laparoscopic appendectomy during pregnancy: between personal experiences and scientific evidence. J Am Coll Surg. 2007. 205:37–42.
8. Park SH, Park MI, Choi JS, Lee JH, Kim HO, Kim H. Laparoscopic appendectomy performed during pregnancy by gynecological laparoscopists. Eur J Obstet Gynecol Reprod Biol. 2010. 148:44–48.
9. Sadot E, Telem DA, Arora M, Butala P, Nguyen SQ, Divino CM. Laparoscopy: a safe approach to appendicitis during pregnancy. Surg Endosc. 2010. 24:383–389.
10. Walsh CA, Tang T, Walsh SR. Laparoscopic versus open appendicectomy in pregnancy: a systematic review. Int J Surg. 2008. 6:339–344.
11. McGory ML, Zingmond DS, Tillou A, Hiatt JR, Ko CY, Cryer HM. Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss. J Am Coll Surg. 2007. 205:534–540.
12. Amos JD, Schorr SJ, Norman PF, Poole GV, Thomae KR, Mancino AT, et al. Laparoscopic surgery during pregnancy. Am J Surg. 1996. 171:435–437.
13. Semm K. Endoscopic appendectomy. Endoscopy. 1983. 15:59–64.
14. Nguyen NT, Zainabadi K, Mavandadi S, Paya M, Stevens CM, Root J, et al. Trends in utilization and outcomes of laparoscopic versus open appendectomy. Am J Surg. 2004. 188:813–820.
15. Andersen B, Nielsen TF. Appendicitis in pregnancy: diagnosis, management and complications. Acta Obstet Gynecol Scand. 1999. 78:758–762.
16. Hodjati H, Kazerooni T. Location of the appendix in the gravid patient: a re-evaluation of the established concept. Int J Gynaecol Obstet. 2003. 81:245–247.
17. Jackson H, Granger S, Price R, Rollins M, Earle D, Richardson W, et al. Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review. Surg Endosc. 2008. 22:1917–1927.
18. Curet MJ. Special problems in laparoscopic surgery. Previous abdominal surgery, obesity, and pregnancy. Surg Clin North Am. 2000. 80:1093–1110.
19. Rizzo AG. Laparoscopic surgery in pregnancy: long-term follow-up. J Laparoendosc Adv Surg Tech A. 2003. 13:11–15.
20. Society of American Gastrointestinal Endoscopic Surgeons (SAGES). Guidelines for laparoscopic surgery during pregnancy. Surg Endosc. 1998. 12:189–190.
21. Mourad J, Elliott JP, Erickson L, Lisboa L. Appendicitis in pregnancy: new information that contradicts long-held clinical beliefs. Am J Obstet Gynecol. 2000. 182:1027–1029.
22. Upadhyay A, Stanten S, Kazantsev G, Horoupian R, Stanten A. Laparoscopic management of a nonobstetric emergency in the third trimester of pregnancy. Surg Endosc. 2007. 21:1344–1348.
23. Rollins MD, Chan KJ, Price RR. Laparoscopy for appendicitis and cholelithiasis during pregnancy: a new standard of care. Surg Endosc. 2004. 18:237–241.
Full Text Links
  • KJOG
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr