Athwal R, Bhogal RH, Hodson J, Ramcharan S. Surgery for gallstone disease during pregnancy does not increase fetal or maternal mortality: a meta-analysis.
Hepatobiliary Surg Nutr 2016;
5:53-7. [PMID:
26904557 DOI:
10.3978/j.issn.2304-3881.2015.11.02]
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Abstract
BACKGROUND
Pregnancy was traditionally considered a contraindication to cholecystectomy but is now becoming the favoured option for gallstone-related disease (GRD) during pregnancy.
METHODS
To assess if cholecystectomy during pregnancy increases the risk of preterm labour, fetal mortality and maternal mortality. PubMed and MEDLINE databases for the period from January 1966 through December 2013. Studies were both conservative and surgical intervention was utilised in the management of GRD were included. The results of the included studies were pooled using meta-analysis techniques.
RESULTS
Surgical intervention for GRD in pregnancy does not increase the risk of preterm labour, fetal mortality or maternal mortality.
CONCLUSIONS
Cholecystectomy during pregnancy for GRD is associated with low complications for the fetus and mother and should be considered in all suitable patients.
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