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2026, Number 1-2

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Rev Mex Cir Endoscop 2026; 27 (1-2)

Laparoscopic cholecystectomy during pregnancy: evidence from clinical practice

Medina-Muñoz DE, Muñoz-Maldonado GE, Fernández-Treviño JR, Hernández-Guedea MA, Guajardo-Montemayor AM, Treviño-Arizmendi CJ, Ledesma-Orta OA, Burelo-Moreno E, Guerra-Rodríguez JM, Castillo-Herrera LR, Morales-Ramírez R

Language: Spanish
References: 20
Page: 7-12
PDF size: 236.52 Kb.


ABSTRACT

Introduction: acute cholecystitis is the second most common non-obstetric surgical emergency during pregnancy, with an incidence ranging from 1 in 1,500 to 1 in 10,000 pregnancies a year. Non-obstetric surgical emergencies occur in approximately 1 in every 500-700 pregnancies, representing less than 2% of all cases. Objectives: to describe our experience with pregnant patients diagnosed with cholecystolithiasis who underwent laparoscopic cholecystectomy. Material and methods: we conducted a retrospective, observational, descriptive, and cross-sectional study from January 2019 to December 2024, including pregnant patients who underwent laparoscopic cholecystectomy. A total of 60 cases were identified, 14 of which were excluded, leaving 46 for final analysis. We performed a descriptive analysis of the studied variables. Results: we analyzed 46 pregnant patients; most with classic symptoms and cholelithiasis (89%). All underwent laparoscopic cholecystectomy with low intraoperative bleeding and short hospital stays. Significant associations were found between gestational diabetes and membrane rupture, hypertension, and biliary sludge, multiparity and cholelithiasis, normal BMI, and shorter surgical time. Conclusion: in our experience, laparoscopic cholecystectomy in pregnant patients with biliary pathology is a safe procedure. Factors such as multiparity, BMI and gestational history were associated with relevant clinical findings. We consider that since there is no national standardization for the multidisciplinary management of these cases, guidelines based on international evidence are required.


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