Penev P
Vutr Boles. 1979;18(6):19-27.
The author established chronic perihepatitis, via laparoscopy, in 61.6 percent of the investigated 350 patients in the course of 12 years. Describing the most characteristic mascoscopic varieties of chronic perihepatitis, the author groups them in seven separate form: I. Perihepatitis diffusa, corresponding to Zuckergussleber of Curschmann. II. Perihepatitis adhesiva and III. Perihepatitis circumscripta. The latter, on its part is subdivided to 5 separate forms of chronic perihepatitis: 1. Perihepatitis arachnoidealis, 2. Perihepatitis marginalis, 3. Perihepatitis areata et striata, 4. Perihepatitis miliaris disseminata, 5. Perihepatitis paravesicalis. That working laparoscopic classification contributes to the precise diagnostics and to the clinical interpretation of the separate forms of chronic perihepatitis. With the aid of lapraoscope the author performed a partial decapsulation of diffuse perihepatitis in 12 patients, without complications observed. Diffuse perihepatitis is, for the first time, described in patients with chronic hepatitis, in a patient with multiple liver abscesses and in one female-patient with peritoneal carcinosis and hemorrhagic ascites.
在12年的时间里，作者通过腹腔镜检查，在350名接受调查的患者中的61.6%身上引发了慢性肝周炎。在描述慢性肝周炎最具特征性的肉眼可见类型时，作者将它们分为七种不同的形式：I. 弥漫性肝周炎，对应于库施曼的“糖衣肝”。II. 粘连性肝周炎和III. 局限性肝周炎。后者又可细分为慢性肝周炎的5种不同形式：1. 蛛网膜样肝周炎，2. 边缘性肝周炎，3. 斑点状及条纹状肝周炎，4. 播散性粟粒状肝周炎，5. 膀胱旁肝周炎。这种实用的腹腔镜分类有助于对慢性肝周炎的不同形式进行精确诊断和临床解读。借助腹腔镜，作者对12例患者的弥漫性肝周炎进行了部分肝包膜剥除术，未观察到并发症。弥漫性肝周炎首次在慢性肝炎患者、多发性肝脓肿患者以及一名患有腹膜癌和出血性腹水的女性患者中被描述。
