Major hepatobiliary surgery during pregnancy: safety and timing.
(2005) American Surgeon — Vol. 71, n° 4, p. 354-358 (2005)
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- Authors
- Abstract
- Hepatobiliary disease, although rare, may present during pregnancy with potential complications for mother and fetus. We present two cases of choledochal cysts and one case of a hepatic adenoma diagnosed in gravid patients. All three patients had acute events or failed medical management and were successfully treated with open resection, excision, or reconstruction during the second or third trimesters of pregnancy without requiring blood transfusions or tocolytic therapy. Although conservative treatment may be indicated in select patients due to the risk of underlying disease, we recommend surgical treatment preferably in the second trimester. With diligent intra- and postoperative management, pregnant patients can safely proceed with major hepatobiliary surgery.
- Affiliations
Keck School of Medicine, University of Southern California, University Hospital, Los Angeles (USA) Division of Hepatobiliary/Pancreatic Surgery and Abdominal Organ Transplantation
Citations
Jabbour, N., Brenner, M., Gagandeep, S., Lin, A., Genyk, Y., Selby, R., & Mateo, R. (2005). Major hepatobiliary surgery during pregnancy: safety and timing. American Surgeon, 71(4), 354-358. https://hdl.handle.net/2078.5/190127 (Original work published 2005)