Skip to main content
Log in

Laparoscopy for appendicitis and cholelithiasis during pregnancy: a new standard of care

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript


Background: Subsequent to a report from the authors’ institution, the laparoscopic management of symptomatic cholelithiasis and appendicitis during pregnancy has become the standard of care at LDS Hospital using institutional guidelines. For comparison with previous outcomes described by the authors, 59 additional laparoscopic cases are reported. Methods: Medical records of all pregnant patients at LDS Hospital who underwent open or laparoscopic cholecystectomy or appendectomy between 1998 and 2002 were reviewed. The outcomes were compared with the authors’ previous data. Results: The laparoscopic management of symptomatic cholelithiasis and appendicitis during pregnancy increased from 54% to 97%. No significant differences in preterm delivery rates, birth weights, or 5-min Apgar scores were found between the two periods. No birth defects or uterine injuries occurred. Conclusions: With the use of the authors’ guidelines, laparoscopy has become the standard of care for managing symptomatic cholelithiasis and appendicitis during pregnancy at LDS Hospital without significant increase in morbidity or mortality.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1
Figure 2
Figure 3

Similar content being viewed by others


  1. DG Affleck DL Handrahan MJ Egger RR Price (1999) ArticleTitleThe laparoscopic management of appendicitis and cholelithiasis during pregnancy. Am J Surg 178 523–529 Occurrence Handle10.1016/S0002-9610(99)00244-5 Occurrence Handle1:STN:280:DC%2BD3c7jsVehtw%3D%3D Occurrence Handle10670865

    Article  CAS  PubMed  Google Scholar 

  2. H Al-Fozan T Tulandi (2002) ArticleTitleSafety and risks of laparoscopy in pregnancy. Curr Opin Obstet Gynecol 14 375–379 Occurrence Handle10.1097/00001703-200208000-00003 Occurrence Handle12151826

    Article  PubMed  Google Scholar 

  3. M Ames Castro TD Shipp EE Castro J Ouzounian P Rao (2001) ArticleTitleThe use of helical computed tomography in pregnancy for the diagnosis of acute appendicitis. Am J Obstet Gynecol 184 954–957 Occurrence Handle10.1067/mob.2001.111721 Occurrence Handle1:STN:280:DC%2BD3Mzgslyrug%3D%3D Occurrence Handle11303204

    Article  CAS  PubMed  Google Scholar 

  4. CA Cosenza B Saffari N Jabbour SC Stain D Carry D Parekh RR Selby (1999) ArticleTitleSurgical management of biliary gallstone disease during pregnancy. Am J Surg 178 545–548 Occurrence Handle10.1016/S0002-9610(99)00217-2 Occurrence Handle1:STN:280:DC%2BD3c7jsVehuw%3D%3D Occurrence Handle10670869

    Article  CAS  PubMed  Google Scholar 

  5. MJ Curet (2000) ArticleTitleSpecial problems in laparoscopic surgery: previous abdominal surgery, obesity, and pregnancy. Surg Clin North Am 80 1093–1110 Occurrence Handle1:STN:280:DC%2BD3cvmtVOjtA%3D%3D Occurrence Handle10987026

    CAS  PubMed  Google Scholar 

  6. MJ Curet D Allen RK Josloff DE Pitcher LB Curet BG Miscall KA Zucker (1996) ArticleTitleLaparoscopy during pregnancy. Arch Surg 131 546–550 Occurrence Handle1:STN:280:BymB3cbgtVI%3D Occurrence Handle8624203

    CAS  PubMed  Google Scholar 

  7. A Davis VL Katz R Cox (1995) ArticleTitleGallbladder disease in pregnancy. J Reprod Med 40 759–762 Occurrence Handle1:STN:280:BymC2cjgsVw%3D Occurrence Handle8592309

    CAS  PubMed  Google Scholar 

  8. M Fatum N Rojansky (2001) ArticleTitleLaparoscopic surgery during pregnancy. Obstet Gynecol Surv 56 50–59 Occurrence Handle1:STN:280:DC%2BD3M7ivF2hsQ%3D%3D Occurrence Handle11140864

    CAS  PubMed  Google Scholar 

  9. RE Glasgow BC Visser HW Harris MG Patti SJ Kilpatrick SJ Mulvihill (1998) ArticleTitleChanging management of gallstone disease during pregnancy. Surg Endosc 12 241–246 Occurrence Handle10.1007/s004649900643 Occurrence Handle1:STN:280:DyaK1c7mvFGktg%3D%3D Occurrence Handle9502704

    Article  CAS  PubMed  Google Scholar 

  10. G Graham L Baxi T Tharakan (1998) ArticleTitleLaparoscopic cholecystectomy during pregnancy: a case series and review of the literature. Obstet Gynecol Surv 53 566–574 Occurrence Handle10.1097/00006254-199809000-00024 Occurrence Handle1:STN:280:DyaK1cvisVCqsQ%3D%3D Occurrence Handle9751939

    Article  CAS  PubMed  Google Scholar 

  11. AT Gurbuz ME Peetz (1997) ArticleTitleThe acute abdomen in the pregnant patient: is there a role for laparoscopy? Surg Endosc 11 98–102 Occurrence Handle10.1007/s004649900306 Occurrence Handle1:STN:280:ByiB383kvFY%3D Occurrence Handle9069135

    Article  CAS  PubMed  Google Scholar 

  12. JR Hiatt JC Hiatt RA Williams SR Klein (1986) ArticleTitleBiliary disease in pregnancy: strategy for surgical management. Am J Surg 151 263–265 Occurrence Handle1:STN:280:BimC38jpvVE%3D Occurrence Handle3511761

    CAS  PubMed  Google Scholar 

  13. WS Kammerer (1979) ArticleTitleNonobstetric surgery during pregnancy. Med Clin North Am 63 1157–1164 Occurrence Handle1:STN:280:Bi%2BC3MbitF0%3D Occurrence Handle529882

    CAS  PubMed  Google Scholar 

  14. B Kort VL Katz WJ Watson (1993) ArticleTitleThe effect of nonobstetric operation during pregnancy. Surg Gynecol Obstet 177 371–376 Occurrence Handle1:STN:280:ByuD38vksVI%3D Occurrence Handle8211581

    CAS  PubMed  Google Scholar 

  15. BM Lemaire WF van Erp (1997) ArticleTitleLaparoscopic surgery during pregnancy. Surg Endosc 11 15–18 Occurrence Handle10.1007/s004649900286 Occurrence Handle1:STN:280:ByiC2cfjsV0%3D Occurrence Handle8994981

    Article  CAS  PubMed  Google Scholar 

  16. HK Lim SH Bae GS Seo (1992) ArticleTitleDiagnosis of acute appendicitis in pregnant women: value of sonography. AJR Am J Roentgenol 159 539–542

    Google Scholar 

  17. MB Reedy B Kallen TJ Kuehl (1997) ArticleTitleLaparoscopy during pregnancy: a study of five fetal outcome parameters with use of the Swedish Health Registry. Am J Obstet Gynecol 177 673–679 Occurrence Handle1:STN:280:ByiH28zpsVQ%3D Occurrence Handle9322641

    CAS  PubMed  Google Scholar 

  18. LD Scott (1992) ArticleTitleGallstone disease and pancreatitis in pregnancy. Gastroenterol Clin North Am 21 803–815

    Google Scholar 

  19. InstitutionalAuthorNameSociety of American Gastrointestinal Endoscopic Surgeons (SAGES) (1998) ArticleTitleGuidelines for laparoscopic surgery during pregnancy. Surg Endosc 12 189–190

    Google Scholar 

  20. InstitutionalAuthorNameState-specific changes in singleton preterm births among black and white women—United States, 1990 and 1997 (2000) ArticleTitle. MMWR Morb Mortal Wkly Rep 49 837–840

    Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to R. R. Price.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rollins, M., Chan, K. & Price, R. Laparoscopy for appendicitis and cholelithiasis during pregnancy: a new standard of care. Surg Endosc 18, 237–241 (2004).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: