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Mini-laparoscopy in the endoscopy unit: Safety and outcomes in over one thousand patients.
Hoffman, Arthur; Rahman, Fareed; Prengel, Sarah; Schuchmann, Marcus; Gotz, Martin; Moehler, Markus; Galle, Peter Robert; Li, Ziping; Kalloo, Anthony Nicholas; Kiesslich, Ralf.
Afiliação
  • Hoffman A; Arthur Hoffman, Fareed Rahman, Sarah Prengel, Marcus Schuchmann, Martin Gotz, Markus Moehler, Peter Robert Galle, Ralf Kiesslich, First Department of Internal Medicine, Johannes Gutenberg University Mainz, Mainz 55101, Germany.
World J Gastrointest Endosc ; 3(1): 6-10, 2011 Jan 16.
Article em En | MEDLINE | ID: mdl-21258600
AIM: To investigate the safety of consecutive mini-laparoscopy guided liver biopsies for the diagnosis and staging of liver diseases. METHODS: In this study we retrospectively analyzed the safety of mini-laparoscopic liver biopsy performed in an endoscopy unit in 1071 patients. We measured the incidence of bleeding and evaluated the management and outcome of bleeding interventions. RESULTS: The most common etiologies of liver injury were viral hepatitis and autoimmune liver disease. 250 patients had macroscopically and histologically proven cirrhosis. 13 patients had no pathological findings. 33% of all patients had bleeding that required argon plasma coagulation of the puncture site during laparoscopy. Significant bleeding occurred more often in patients with liver cirrhosis compared to non-cirrhotic liver diseases but was effectively treated with laparoscopic coagulation. CONCLUSION: In conclusion, mini-laparoscopy liver biopsy can be performed safely and effectively in high risk patients with advanced liver disease; mini-laparoscopy with liver biopsy can be done safely in an endoscopy unit.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2011 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2011 Tipo de documento: Article