Overview
General Recommendations For Diagnostic Laparoscopy
Diagnostic laparoscopy (DL) is a safe and well tolerated procedure that can be performed in an inpatient or outpatient setting under general or occasionally local anesthesia with intravenous sedation in carefully selected patients. DL should be performed by physicians trained in laparoscopic techniques who can recognize and treat common complications and can perform additional therapeutic procedures when indicated. During the procedure, the patient should be continuously monitored, and resuscitation capability must be immediately available. Laparoscopy must be performed using sterile technique along with meticulous disinfection of the laparoscopic equipment. Overnight observation may be appropriate in some outpatients.
Indications
- Evaluation of liver diseases after nondiagnostic radiologic examination
- Grading of severity of illness particularly in cases of cirrhosis
- Biopsy in patients with coagulopathy or for lesions difficult to access percutaneously
- Staging of hepatoma
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