Karnam U S, Reddy K R
Center for Liver Diseases, University of Miami School of Medicine, Miami, Florida, USA.
Endoscopy. 2002 Feb;34(2):146-53. doi: 10.1055/s-2002-19847.
Diagnostic laparoscopy has been in use since the last century. Advances in technology, coupled with increasing evidence of enhanced outcomes following its use, have renewed interest in this modality. Diagnostic laparoscopy guides surgeons in preventing unnecessary laparotomies in settings of acute abdomen, oncologists for accurate staging of malignancies from the esophagus to the colon, and hepatologists in the evaluation of acute as well as chronic liver diseases. Prospective clinical studies are awaited that will allow experimental technological advances, refining the methods of diagnostic laparoscopy, to be translated into more widespread use.
诊断性腹腔镜检查自上世纪以来就已被使用。技术的进步,再加上越来越多证据表明使用该技术后疗效有所提高,重新引发了人们对这种检查方式的兴趣。诊断性腹腔镜检查可指导外科医生在急腹症情况下避免不必要的开腹手术,帮助肿瘤学家对从食管到结肠的恶性肿瘤进行准确分期,还能辅助肝病学家评估急慢性肝病。期待有前瞻性临床研究,使实验性技术进步(即完善诊断性腹腔镜检查方法)能得到更广泛应用。