Surgical Endoscopy

, Volume 22, Issue 4, pp 849–861 | Cite as

Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy

This statement was reviewed and approved by the Board of Governors of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), September 2007. It was prepared by the SAGES Guidelines Committee.
  • Prepared by the Guidelines Committee of the Society of American Gastrointestinal and Endoscopic Surgeons
  • Hori YumiEmail author


Early concerns about the performance of laparoscopic surgery performed on pregnant patients centered on the potential risk to the fetus due to trocar insertion, CO2 insufflation, and the technical ability to obtain proper operative exposure with a gravid uterus. Additionally, risks to the mother that were thought to be important included altered physiology of pneumoperitoneum and decreased venous return to the heart. Evidence is accumulating to suggest that clinical outcomes are equivalent to open surgical techniques, while conferring all the advantages of the laparoscopic approach.

This document provides specific recommendations and guidelines to assist physicians in the diagnostic workup and treatment of surgical problems in pregnant patients focusing on the use of laparoscopy. Surgical interventions during pregnancy should minimize fetal risk without compromising the safety of the mother.


Guidelines for clinical practice are intended to indicate preferable...


Laparoscopic Cholecystectomy Pregnant Patient Laparoscopic Appendectomy Laparoscopic Adrenalectomy Laparoscopic Splenectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Prepared by the Guidelines Committee of the Society of American Gastrointestinal and Endoscopic Surgeons
  • Hori Yumi
    • 1
    Email author
  1. 1.Society of American Gastrointestinal and Endoscopic Surgeons 11300 WLos AngelesUSA

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