,Surgery for gallstone disease during pregnancy does not increase fetal or maternal mortality: a met

• 作 者: Ruvinder Athwal Ricky Harminder Bhogal James Hodson Sean Ramcharan
• 机 构: Warwick Hospital, Lakin Road, Warwick CV345BW, UK“,”University of Birmingham, Edgbaston, Birmingham,
• 出 处: 肝胆外科与营养
• 发表日期: 2016年1期
• 关键词: Laparoscopic cholecystectomy pregnancy gallstones preterm labour fetal mortality

Background: Pregnancy was traditionally considered a contraindication to cholecystectomy but is now becoming the favoured option for gallstone-related disease (GRD) during pregnancy. Methods: To assess if cholecystectomy during pregnancy increases the risk of preterm labour, fetal mortality and mateal mortality. PubMed and MEDLINE databases for the period from January 1966 through December 2013. Studies were both conservative and surgical intervention was utilised in the management of GRD were included. The results of the included studies were pooled using meta-analysis techniques. Results: Surgical intervention for GRD in pregnancy does not increase the risk of preterm labour, fetal mortality or mateal mortality. Conclusions: Cholecystectomy during pregnancy for GRD is associated with low complications for the fetus and mother and should be considered in all suitable patients.