2016 Volume 36 Issue 5 Pages 915-918
Laparoscopic (assisted) appendectomy is not yet generally used in pregnant patients and the operative procedure is not yet standardized. We present three cases of pregnant women in whom laparoscopic appendectomy was performed.Case1: A 31-year-old woman at 22 weeks of gestation. The 12-mm camera port was placed 1 finger width above the umbilicus. The 5-mm trocar was inserted into the right flank region and the appendix was grasped directly with the forceps. The incision was then extended to 3cm and extracorporeal appendectomy was performed. Case 2: A 40-year-old woman at 30 weeks of gestation. The 12-mm camera port was placed 5cm above the umbilicus. The 5-mm ports were placed in the right hypochondriac and suprapubic regions. The suprapubic port was close to the uterus. Therefore, attention was reguired to preventing contact with the uterus. Case 3: A 30-year-old woman at 25 weeks of gestation. The 12-mm camera port was placed 5cm above the umbilicus. The 5-mm ports were placed in the right hypochondriac region and in the right lower quadrant of the abdomen. The operation was completed successfully without any contact with the uterus. We consider that the location of the ports in Case 3 can be deemed as the standard.
