title: [A case of general anesthesia combined with epidural anesthesia in a pregnant woman undergoing laparoscopic cholecystectomy].
abstract: We report a case of general anesthesia for laparoscopic cholecystectomy at 12 weeks of gestation. A 20-year-old woman weighing 123 kg was admitted with epigastralgia. She was diagnosed as pregnancy of 6 weeks of gestation and acute cholecystitis. Percutaneous trans-gallbladder drainage was performed to delay operation until 12 weeks of gestation. Laparoscopic cholecystectomy was performed uneventfully under general anesthesia combined with epidural anesthesia. There were no clinical signs of fetal distress during the perioperative period.
authors.affiliation: Department of Anesthesiology, Okayama Red Cross General Hospital, Okayama 700-8607.
authors.forename: Junko
authors.initials: J
authors.lastname: Kamitani
authors.forename: Yoko
authors.initials: Y
authors.lastname: Monobe
authors.forename: Hiromi
authors.initials: H
authors.lastname: Fujii
authors.forename: Satoru
authors.initials: S
authors.lastname: Oku
authors.forename: Takeshi
authors.initials: T
authors.lastname: Mikane
authors.forename: Tomihiro
authors.initials: T
authors.lastname: Fukushima
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Shimoda
authors.forename: Fumiko
authors.initials: F
authors.lastname: Ishii
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Tokioka
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000768:Anesthesia, General / Q000379:methods*; D000773:Anesthesia, Obstetrical; D017081:Cholecystectomy, Laparoscopic; D041881:Cholecystitis, Acute / Q000601:surgery; D005260:Female; D006801:Humans; D011247:Pregnancy; D011261:Pregnancy Trimester, First