Diagnostic laparoscopy in gastroenterology - A 14-year experience

Piet C. De Groen, Jorge Rakela, S. Christopher Moore, Douglas B. McGill, Duane D. Burton, Beverly J. Ott, Alan R. Zinsmeister

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

Between 1970 and 1983, we performed 1121 diagnostic laparoscopies in 1119 patients. More than 50% of the examinations were performed for malignant disease. An adequate examination was accomplished in 917 (82%) procedures. The most frequent reason for inadequate evaluation was the presence of dense intraabdominal adhesions from previous surgery. We observed 105 (9.4%) minor complications and 20 (1.8%) major complications including one death following hemorrhage from liver biopsy. Major complications included abdominal wall hematoma, perforated abdominal viscus, hemoperitoneum, bleeding from liver biopsy, and respiratory depression. We observed a trend to decreased use of laparoscopy. Ascites of unknown origin and certain specific situations in patients with chronic liver disease remain as major indications for this diagnostic technique.

Original languageEnglish (US)
Pages (from-to)677-681
Number of pages5
JournalDigestive diseases and sciences
Volume32
Issue number7
DOIs
StatePublished - Jul 1 1987

Keywords

  • gastroenterologic laparoscopy
  • laparoscopy

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology

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    De Groen, P. C., Rakela, J., Christopher Moore, S., McGill, D. B., Burton, D. D., Ott, B. J., & Zinsmeister, A. R. (1987). Diagnostic laparoscopy in gastroenterology - A 14-year experience. Digestive diseases and sciences, 32(7), 677-681. https://doi.org/10.1007/BF01296131