Peghini M, Barabe P G, Jean P, Griffet P, Morcillo R, Eynard J P, Mbaye P S, Wade B
Hôpitaux des Armées, Hôpital Principal de Dakar,Sénégal.
Med Trop (Mars). 1989 Oct-Dec;49(4):349-55.
600 laparoscopic examinations were performed in an Internal Medicine Department of the general Hospital Dakar (Senegal) from 1984 to 1989 in 402 males and 198 females aged from 7 to 82 years. This examination of simple and quick procedure well tolerated under simple premedication, should be performed only after diffusion of the pneumoperitoneum, per- foration being the major risk. Even if liver cell carcinoma and cirrhosis represent more than an half of the examined cases (52%) due to their high frequency, exploration of peritoneal pathology is the best indication for laparoscopy. Thanks to laparoscopy, 68 tuberculosis, 28 peritoneal carcinomatosis and 11 infectious peri-hepatitis were diagnosed. It remains a major examination perfectly adapted to studies of the so-frequent hepato-peritoneal pathology in Black Africa]
1984年至1989年期间，在达喀尔综合医院（塞内加尔）的内科对402名男性和198名女性进行了600次腹腔镜检查，年龄在7岁至82岁之间。这种检查操作简单快捷，在简单的术前用药下耐受性良好，仅应在气腹扩散后进行，穿孔是主要风险。即使肝细胞癌和肝硬化因其高发病率占检查病例的一半以上（52%），但腹腔镜检查对腹膜病变的探查仍是最佳适应证。通过腹腔镜检查，诊断出68例结核病、28例腹膜癌和11例感染性肝周炎。它仍然是一项非常适合研究黑非洲地区常见的肝腹膜病变的重要检查。
