What are recommendations for the performance of laparoscopic cholecystectomy in pregnant patients?

Updated: Apr 16, 2020
  • Author: Danny A Sherwinter, MD; Chief Editor: Kurt E Roberts, MD  more...
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Recommendations for pregnant patients who must undergo laparoscopic cholecystectomy include the following:

  • Placement in the left lateral recumbent position to shift the weight of the gravid uterus off the vena cava
  • Maintenance of insufflation pressures between 10 and 12 mm Hg
  • Monitoring of maternal arterial carbon dioxide tension (PaCO 2) - This may be done by measuring either arterial blood gases or end-tidal CO 2; the former may be more accurate

Other recommendations are as follows [33] :

  • Avoidance of rapid changes in intraperitoneal pressures
  • Avoidance of rapid changes in patient position
  • Use of open technique for umbilical port placement

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