Abstract
Laparoscopic cholecystectomy has developed as an excellent operational method for the
patients with characteristic cholelithiasis and regarding complication. The current study was
conducted for determining the diagnostic and surgical outcomes in the patients with
gallstones treated with laparoscopic cholecystectomy techniques. The total 30 pregnant
patients were suspected acutely symptomatic cholelithiasis or its complications were treated
using laparoscopic approach at the at the Department of Surgery of Liaquat University of
Medical & Health Sciences, Jamshoro, Sindh, Pakistan after approval from the institutional
ethical committee. Inducing the usual anesthesia, veress needle method was used for
establishing a pneumoperitoneum. The needle was injected in the right upper abdominal
quadrant ahead of the uterine fundus along with 5 mm trocar and a 5 mm laparoscope was
passed through this channel. Two trocars of 10 mm size were introduced for direct vision in
the Trendelenburg reverse position. The gallbladder dissection was performed using scissors
which were associated with electrocautery for instantaneous hemostasis. The exploration of
common bile duct was performed through the cystic duct. In one year followed up, 5 patients
underwent instantaneous of common bile duct exploration and choledocholithotomy. During
all three trimesters in different patients, all operations were performed. There were 14
multiparous females and 6 of them had reported abdominal operation previously including 2
ovarian cystectomy and 4 cesarean sections. All patients were well tolerated the surgical
operations with zero labor precipitation or death of fetus. It is confidence that with adequate
trainings and choledochoscope, laparoscopy is good alternate to retrograde
cholangiopancreatography.