Laparoscopic Appendectomy for Acute Appendicitis in Pregnancy: A Report of Five Cases

Abstract

Open appendectomy remains the most common procedure for appendicitis in pregnant patients. However, recently we have been using laparoscopic appendectomy (LA) for such patients because of progress in laparoscopic techniques based on experience. Five pregnant patients underwent LA between July 2011 to March 2013. The patient’s position and trocar insertion site were confirmed to be appropriate during the operation to establish a good operating field. Close observation of patients and fetuses was performed by both anesthesiologists and obstetricians during the perioperative period. No postoperative complications occurred, and all patients had a normal delivery. Based on these results, we conclude that LA can be an effective method for treating acute appendicitis during all trimesters of pregnancy.