Abstract
An experience with a case of laparoscopic cholecystectomy, with the abdominal wall suspended under hypobaric pneumoperitoneum, in a 27-year-old woman is reported on. While observing the clinical course of cholelithiasis, the patient became having repeated right hypochondralgia on the eighth week of gestation, and an increase in hepatic enzyme was noted in the 22nd week of gestation. The patient was considered a possible candidate for operation because of repeated subsequent attacks of colic. Laparoscopic cholecystectomy was conducted in the 27th week of gestation. Using general anesthesia, surgery could be performed under a comparatively favorable field of vision by lifting the area directly above the navel and the right hypochondriac arch and with the additional use of hypobaric pneumoperitoneum at 4-8mmHg, as necessary. The postoperative course was uneventful, resulting in a safe delivery. We think that laparoscopic cholecystectomy is very beneficial procedure for pregnent women.
