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首页> 外文期刊>Surgical Endoscopy >Laparoscopy for appendicitis and cholelithiasis during pregnancy: a new standard of care.
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Laparoscopy for appendicitis and cholelithiasis during pregnancy: a new standard of care.

机译：腹腔镜检查在怀孕期间阑尾炎和胆石症：新的护理标准。

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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.
机译：背景：根据作者机构的报告，怀孕期间对症性胆石症和阑尾炎的腹腔镜处理已成为LDS医院采用机构指南的治疗标准。为了与作者先前描述的结果进行比较，报告了另外59例腹腔镜病例。方法：回顾了1998年至2002年间LDS医院所有接受开腹或腹腔镜胆囊切除术或阑尾切除术的孕妇的病历。将结果与作者先前的数据进行比较。结果：妊娠期症状性胆石症和阑尾炎的腹腔镜处理从54％增加到97％。在两个时期之间，未发现早产率，出生体重或5分钟Apgar评分有显着差异。没有发生先天缺陷或子宫损伤。结论：通过使用作者的指南，腹腔镜检查已成为LDS医院在妊娠期间处理症状性胆石症和阑尾炎的护理标准，而发病率或死亡率没有明显增加。

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