摘要：Laparoscopy is widely utilised to diagnose and treat acute and chronic, gynaecological and general surgical
conditions. It has only been in recent years that laparoscopy has become an acceptable surgical alternative to open
surgery in pregnancy. To date there is little clinical guidance pertaining to laparoscopic surgery in pregnancy.
This is why the BSGE commissioned this guideline. MEDLINE, EMBASE, CINAHL and the Cochrane library
were searched up to February 2017 and evidence was collated and graded following the NICE-approved process.
The conditions included in this guideline are laparoscopic management of acute appendicitis, acute gall bladder
disease and symptomatic benign adnexal tumours in pregnancy.
The intended audience for this guideline is obstetricians and gynaecologists in secondary and tertiary care, general
surgeons and anaesthetists. However, only laparoscopists who have adequate laparoscopic skills and who perform
complex laparoscopic surgery regularly should undertake laparoscopy in pregnant women, since much of the
evidence stems from specialised centres.
关键词：Laparoscopy in pregnancy; Appendicitis in pregnancy; Gallbladder disease ; Cholecystitis in
pregnancy; Benign adnexal tumours ; Ovarian cysts in pregnancy;
