Trujillo N P
Gastroenterology. 1976 Dec;71(6):1083-5.
In 145 cases of intraabdominal disease, a laparotomy was considered the next diagnostic step, but peritoneoscopy was performed instead. In 37 cases with a suspicion of metatastic carcinoma, peritoneoscopy with guided biopsy demonstrated carcinoma in 29. In 32 cases, with biopsy-proven cirrhosis of the liver with high suspicion of a hepatoma, peritonescopy demonstrated the presence of hepatoma in 12. In 28 cases, protracted unexplained jaundice was present; nonsurgical causes for jaundice were found in 15. In 48 cases an exudative (protein greater than 2.5 per 100 ml) ascites was present. In 19 cases, either tuberculosis or carcinomatous implants of the peritoneum were found, and ovarian carcinoma was found in 9. Peritoneoscopy with guided biopsy obviated the need for laparotomy in 90% of these cases.
在145例腹腔疾病患者中，剖腹探查曾被视为下一步的诊断措施，但最终均改为进行腹腔镜检查。在37例怀疑为转移性癌的病例中，经腹腔镜引导活检发现29例患有癌症。在32例经活检证实为肝硬化且高度怀疑患有肝癌的病例中，腹腔镜检查发现12例存在肝癌。在28例长期原因不明的黄疸病例中，发现15例黄疸的非手术病因。在48例存在渗出性腹水（蛋白质含量超过每100毫升2.5克）的病例中，发现19例患有腹膜结核或癌性种植转移，9例患有卵巢癌。在这些病例中，90%经腹腔镜引导活检后无需进行剖腹探查。
