Laparoscopic cholecystectomy has become the method of choice for sympt
omatic cholelithiasis. Laparoscopic cholecystectomy during pregnancy i
s also becoming more accepted, as illustrated by several recent public
ations on this subject. In the third trimester, however, laparoscopic
cholecystectomy has been less commonly attempted, with only a few case
reports. We present a series of four patients who underwent laparosco
pic cholecystectomy during the third trimester of pregnancy without co
mplication. We describe a safe and effective technique for this proced
ure, and review the literature on this topic.