
What is the role of diagnostic laparoscopy in a gastroenterology unit?
Abstract Background Diagnostic laparoscopy is known to be a relatively safe invasive procedure. However, its use has decreased owing to the development of imaging techniques, and fewer gastroenterologists now practice diagnostic laparoscopy. Our aim was to examine the role of diagnostic laparoscopy in a gastroenterology unit in the era of advanced imaging techniques. Methods We retrospectively reviewed 855 diagnostic laparoscopy cases. Its safety and efficacy were evaluated for various indications. Results No mortality was observed, and complications were noted in ten patients (1.2%). Among the indications were evaluation of chronic liver disease (n = 673), liver tumor (n = 15), ascites of unknown origin and peritoneal disease (n = 142), and staging of intra-abdominal malignancy (n = 25). In patients with chronic liver disease, 461 were diagnosed as having chronic viral hepatitis, based on clinical data including imaging studies, but the diagnosis was changed to cirrhosis after a laparoscopic exam in 69 patients (15.0%). In patients with ascites of unknown origin and peritoneal disease, the diagnostic yield was 87.2% (123/141). In 24 (19.5%) of the 123 patients, the diagnosis changed or the less probable diagnosis was confirmed after laparoscopic examination. The confirmed diagnoses were mainly primary peritoneal disease, including peritoneal tuberculosis, in 17 patients, peritoneal metastatic carcinoma in five, and mesothelioma in two. Conclusions Diagnostic laparoscopy in a gastroenterology unit is safe and useful, especially for confirmation of liver cirrhosis and primary peritoneal disease evaluation. Content Type Journal ArticleDOI 10.1007/s00535-007-2106-0Authors Young Joon Yoon, Yonsei University College of Medicine Department of Internal Medicine 134 Shinchon-dong, Seodaemoon-gu Seoul 120-752 KoreaSang Hoon Ahn, Yonsei University College of Medicine Department of Internal Medicine 134 Shinchon-dong, Seodaemoon-gu Seoul 120-752 KoreaJun Yong Park, Yonsei University College of Medicine Department of Internal Medicine 134 Shinchon-dong, Seodaemoon-gu Seoul 120-752 KoreaChae Yoon Chon, Yonsei University College of Medicine Department of Internal Medicine 134 Shinchon-dong, Seodaemoon-gu Seoul 120-752 KoreaDo Young Kim, Yonsei University College of Medicine Department of Internal Medicine 134 Shinchon-dong, Seodaemoon-gu Seoul 120-752 KoreaYoung Nyun Park, Yonsei University College of Medicine Department of Pathology Seoul KoreaKwang-Hyub Han, Yonsei University College of Medicine Department of Internal Medicine 134 Shinchon-dong, Seodaemoon-gu Seoul 120-752 Korea Journal Journal of GastroenterologyOnline ISSN 1435-5922Print ISSN 0944-1174 Journal Volume Volume 42 Journal Issue Volume 42, Number 11 / November, 2007 (Source: Journal of Gastroenterology)
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