Paolaggi J A, Algard M, Barret C, Ferrandi F, Bertrand H J
Ann Med Interne (Paris). 1987;138(2):86-9.
The authors illustrate the indications of laparoscopy by reporting their clinical experience in a Department of gastroenterology between 1982 and 1984. In addition to the clinical indications which remain valid, new indications of laparoscopy are described in cases of failure of ultrasonography and/or computerised tomography, and of direct opacification of the biliary and pancreatic ducts. Laparoscopy has been practically abandoned in the diagnosis of obstructive jaundice and pancreatic pathology. It is irreplaceable in peritoneal pathology. The role of laparoscopy in hepatic tumours, hepatitis, cirrhosis, certain abdominal emergencies, unexplained abdominal pain and pelvic disease is discussed. Some rare indications may be considered only when the technical possibilities of laparoscopy are understood.
作者通过报告他们于1982年至1984年在一家胃肠病科的临床经验，阐述了腹腔镜检查的适应证。除了仍然有效的临床适应证外，还描述了在超声检查和/或计算机断层扫描失败以及胆管和胰管直接造影的情况下腹腔镜检查的新适应证。腹腔镜检查在阻塞性黄疸和胰腺疾病的诊断中实际上已被摒弃。它在腹膜疾病的诊断中是不可替代的。文中讨论了腹腔镜检查在肝肿瘤、肝炎、肝硬化、某些腹部急症、不明原因的腹痛和盆腔疾病中的作用。只有在了解腹腔镜检查的技术可能性时，才可以考虑一些罕见的适应证。
