title: [CAMIC Recommendations for Surgical Laparoscopy in Non-Obstetric Indications during Pregnancy].
abstract: In the operative surgical primary care, the laparoscopic surgical technique has firmly established itself in recent years. Meanwhile, in the normal population over 90 % of all cholecystectomies and over 80 % of all appendectomies are performed in a minimally invasive manner. The proven benefits of the laparoscopic surgical technique, compared with conventional open surgery, are a comparatively rapid early postoperative recovery with early resumption of the general physical and occupational activity. As these benefits are equally applicable for necessary interventions during pregnancy, in recent years laparoscopy has become the preferred treatment for non-obstetric indications in the gravid patient. Overall, it can be assumed that such interventions have to be performed in approximately 2 % of all pregnant patients. Numerous studies have proven here that the use of laparoscopic techniques, in particular for the expectant mother, is safe and not associated with an increased risk. On the other hand, the current pregnancy makes necessary an adapted approach to the solution of surgical problems to ensure the protection of the unborn child. On the basis of currently available data situation, recommendations are formulated which can be used as a decision-making support for a variety of clinical situations.
authors.affiliation: Klinik für Allgemein-, Viszeral-, Thorax- und Gefäßchirurgie, Klinikum Südstadt, Rostock, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Förster
authors.affiliation: Universitätsfrauenklinik und Poliklinik am Klinikum Südstadt, Rostock.
authors.forename: T
authors.initials: T
authors.lastname: Reimer
authors.affiliation: Landeskrankenhaus Feldkirch, Gynäkologie und Geburtshilfe, Feldkirch, Österreich.
authors.forename: S
authors.initials: S
authors.lastname: Rimbach
authors.affiliation: Klinik für Frauenheilkunde und Geburtsmedizin, Universitätsklinikum Frankfurt am Main.
authors.forename: F
authors.initials: F
authors.lastname: Louwen
authors.affiliation: Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, Homburg, Saar.
authors.forename: T
authors.initials: T
authors.lastname: Volk
authors.affiliation: Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Freiburg.
authors.forename: H
authors.initials: H
authors.lastname: Bürkle
authors.affiliation: Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck.
authors.forename: C
authors.initials: C
authors.lastname: Benecke
authors.affiliation: Klinik für Allgemin-, Viszeral- und Unfallchirurgie, Klinikum Bremen Ost.
authors.forename: T
authors.initials: T
authors.lastname: Carus
authors.affiliation: Klinik für Allgemein- und Viszeralchirurgie, Johanniter-Klinikum Bonn.
authors.forename: A
authors.initials: A
authors.lastname: Türler
authors.affiliation: Klinik für Allgemein-, Viszeral- und Minimalinvasive Chirurgie, Helios Klinikum Krefeld.
authors.forename: C
authors.initials: C
authors.lastname: Wullstein
authors.affiliation: Klinik für Allgemein-, Viszeral-, Thorax- und Gefäßchirurgie, Klinikum Südstadt, Rostock, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Ludwig
mesh_terms: D001062:Appendectomy / Q000379:methods; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D019317:Evidence-Based Medicine; D005260:Female; D005323:Fetal Monitoring; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy / Q000379:methods*; D056888:Patient Positioning / Q000379:methods; D011028:Pneumoperitoneum, Artificial / Q000379:methods; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*