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首页> 外文期刊>Surgical Endoscopy >Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review
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Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review

机译：妊娠期外科疾病的诊断和腹腔镜治疗：循证审查

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摘要

Treatment of surgical disease in the gravid patient requires a unique and careful approach where safety of the mother and fetus are both considered. Approaches to diagnosis and therapy of surgical disease in the gravid patient are increasingly clarified and defined in the literature. Laparoscopy, once described as contraindicated in pregnancy, has been steadily accepted and applied as data supporting its safety and use have accumulated. An extensive review of the literature was performed to define the use of laparoscopy in pregnancy. Diagnoses for independent surgical diseases as well as imaging modalities and techniques during pregnancy are reviewed. Preoperative, intraoperative, and postoperative management of the pregnant patient are described and evaluated with focus on use of laparoscopy. Literature supporting safety and efficacy of laparoscopy in cholecystectomy, appendectomy, solid organ resection, and oophorectomy in the gravid patient is outlined. Based on level of evidence, this review includes recommendations specific to surgical approach, trimester of pregnancy, patient positioning, port placement, insufflation pressure, monitoring, venous thromboembolic prophylaxis, obstetric consultation, and use of tocolytics in the pregnant patient.
机译：对妊娠孕妇的外科疾病的治疗需要采取一种独特且谨慎的方法，其中要兼顾母亲和胎儿的安全。在妊娠患者中诊断和治疗外科疾病的方法越来越明确，文献中也对此有所定义。腹腔镜检查曾经被描述为是孕妇的禁忌症，由于其安全性和使用性的数据已经积累，因此已被稳定地接受和应用。进行了广泛的文献回顾，以确定腹腔镜在妊娠中的用途。回顾了独立手术疾病的诊断以及妊娠期间的成像方式和技术。描述和评估了孕妇的术前，术中和术后处理，重点是腹腔镜的使用。概述了腹腔镜在妊娠患者中进行胆囊切除术，阑尾切除术，实体器官切除术和卵巢切除术的安全性和有效性的文献。根据证据水平，该评价包括针对手术方法，妊娠中期，患者位置，端口位置，吹入压力，监测，静脉血栓栓塞预防，产科咨询以及在孕妇中使用生育抑制剂的建议。

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  • 来源
    《Surgical Endoscopy》 |2008年第9期|1917-1927|共11页
  • 作者

    Heidi Jackson; Steven Granger; Raymond Price; Michael Rollins; David Earle; William Richardson; Robert Fanelli;

  • 作者单位

    Department of Surgery University of Utah Medical Center Salt Lake City UT USA;

    Department of Surgery University of Utah Medical Center Salt Lake City UT USA;

    Department of Surgery Intermountain Medical Center Intermountain Healthcare 5169 S. Cottonwood St. Suite 410 Salt Lake City UT 84107 USA;

    Department of Surgery Primary Children’s Medical Center Intermountain Healthcare Salt Lake City USA;

    Department of Surgery Baystate Medical Center Springfield MA USA;

    Department of Surgery Ochsner Clinic Foundation New Orleans LA USA;

    Department of Surgery Berkshire Medical Center Pittsfield MA USA;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    Laparoscopy; Pregnancy; Cholecystectomy; Appendectomy; Guidelines; Radiology;

    机译：腹腔镜;妊娠;胆囊切除术;阑尾切除术;指南;放射学;

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