Single-incision Laparoscopic Appendectomy for Acute Appendicitis in Pregnancy—A Report of Two Cases—

UEMURA Jun, KUMAMOTO Kensuke, KISHINO Takayoshi, TENKUMO Chiaki, HANAOKA Uiko, OKANO Keiichi

doi:10.3919/jjsa.83.345

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単孔式腹腔鏡下手術で切除した妊婦急性虫垂炎の2例
タンコウシキフククウキョウシタテジュツデセツジョシタニンプキュウセイチュウスイエンノ 2レイ

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Abstract

<p>Laparoscopic appendectomy for acute appendicitis in pregnant women has been commonly reported in Japan, but reports of single-incision laparoscopic appendectomy (SILA) are still limited. We encountered two cases of acute appendicitis in pregnant women who underwent SILA. Case 1 was a 23-year-old woman completing 23 weeks of pregnancy, and Case 2 was a 33-year-old woman completing 15 weeks pregnant. Both patients complained of abdominal pain and were diagnosed with acute appendicitis following CT examination. Thereafter, the patients urgently underwent SILA. The postoperative course was good without complications, and both patients experienced a normal delivery. Laparoscopic appendectomy for pregnant women is minimally invasive ; however, devising the port arrangement according to the position of the uterine fundus to avoid interference with the uterus during surgery is necessary. When the uterine fundus does not rise to the umbilicus height, SILA is suitable for acute appendicitis in pregnant women because it can be approached only from the umbilicus.</p>

Journal

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 83 (2), 345-350, 2022

Japan Surgical Association

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