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Min and Kang: A comparison of laparoscopic versus open appendectomy during pregnancy
Original Article
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2011; 54(5): 236-240.

Published online: 20 May 2011

DOI: https://doi.org/10.5468/KJOG.2011.54.5.236

A comparison of laparoscopic versus open appendectomy during pregnancy

Jun-Won Min, MD1, Yun-Dan Kang, MD2

1Department of Surgery, Dankook University College of Medicine, Cheonan, Korea.

2Department of Obstetrics and Gynecology, Dankook University College of Medicine, Cheonan, Korea.

Corresponding author: Yun-Dan Kang, MD. Department of Obstetrics and Gynecology, Dankook University College of Medicine, 29 Anseo-dong, Dongnam-gu, Cheonan 330-714, Korea. Tel: +82-41-550-3792, Fax: +82-41-556-3878, yundan76@dankook.ac.kr

Received 11 March 2011       Revised 18 April 2011       Accepted 19 April 2011

Copyright © 2011. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective

Laparoscopic appendectomy in pregnancy has not been considered the preferred procedure in appendicitis until recently. The aim of this study was to evaluate the safety of laparoscopic appendectomy during pregnancy as compared with open appendectomy during pregnancy.

Methods

Between January 2003 and June 2010, 65 pregnant women underwent appendectomy for suspected acute appendicitis at the department of surgery, Dankook University Hospital. There were 49 patients in the open appendectomy group (OA group) and 16 patients in the laparoscopic group (LA group). We reviewed the charts of pregnant patients who went through an open and laparoscopic appendectomy.

Results

There were no significant differences in the length of the surgery, the hospital stay and the complication rate between the LA and OA groups. There were no significant differences between the two groups for pregnancy outcome. There were no fetal losses or abortions.

Conclusion

Laparoscopic appendectomy is safe during pregnancy and is associated with good maternal and fetal outcome.

Keywords: Pregnancy, Acute appendicitis, Laparoscopic appendectomy, Open appendectomy

Figures and Tables

Table 1
Characteristics of the patients between open vs. laparoscopic appendectomy
kjog-54-236-i001

Data presented as mean±standard deviation or n (%).

LA, laparoscopic appendectomy; OA, open appendectomy; WBC, white blood cell.

Table 2
Clinical outcomes of the patients
kjog-54-236-i002

Data presented as n (%) or mean±standard deviation.

LA, laparoscopic appendectomy; OA, open appendectomy.

Table 3
Postoperative pregnancy outcomes
kjog-54-236-i003

Data presented as n (%) or mean±standard deviation.

LA, laparoscopic appendectomy; OA, open appendectomy; IUGR, intrauterine growth retardation; C-sec, cesarean section.

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