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VOLUME 12 , ISSUE 1 ( January-April, 2019 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic Cholecystectomy at Cesarean Section

Majid Mushtaque, Samina A Khanday, Junaid Sheikh, Arshad R Kema, Ibrahim R Guru, Tajamul N Malik

Keywords : Combined approach, Gallbladder disease, Laparoscopic cholecystectomy, Lower segment cesarean section, Pregnancy

Citation Information : Mushtaque M, Khanday SA, Sheikh J, Kema AR, Guru IR, Malik TN. Laparoscopic Cholecystectomy at Cesarean Section. World J Lap Surg 2019; 12 (1):25-28.

DOI: 10.5005/jp-journals-10033-1348

License: CC BY-NC 4.0

Published Online: 01-04-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective: To study the outcome of laparoscopic cholecystectomy at the time of cesarean section. Materials and methods: Eight patients were subjected to laparoscopic cholecystectomy at the time of cesarean section. All of them were diagnosed with cholelithiasis at the first antenatal scan. Laparoscopic cholecystectomy was performed by a standard technique, after assessing the anatomy via the cesarean wound. Results: Laparoscopic cholecystectomy was combined with lower segment cesarean section (LSCS) under general anesthesia in all patients. Surgeries were completed in a mean operating time of 82 minutes. There were no intraoperative or major postoperative complications. No extra antibiotics or analgesics doses were needed. Patients were discharged on the third and the fourth postoperative day. Conclusion: A combination approach of laparoscopic cholecystectomy at the time of LSCS confers the benefits of minimal access for gallstone disease apart from being safe, effective, and well accepted. With an additional small port site incision, single anesthesia, and single hospital stay, the combined procedure confers valuable advantages in terms of time, hospital stay, cost, and convenience. It also prevents the possibility of developing acute cholecystitis while the patient is waiting for cholecystectomy apart from avoiding the separation of mother from newborn entailed by reoperation.


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