Aubry P, Vergne R, Oddes B, Delanoue G, Larregle B, Seurat P L
Med Trop (Mars). 1984 Jul-Sep;44(3):241-5.
A real time ultrasonography was set up in a senegalese hospital, resulting in a decrease of laparoscopy indications. Laparoscopy is given up for the diagnosis of liver abcess, jaundice and "abdominal masses". It must no more be included in the first step check up for hepatocellular carcinoma, because ultrasonography and cytology after puncture are enough to confirm the diagnosis. Laparoscopy remains essential for peritoneal diseases. Hepatic needle biopsy under laparoscopy control remains necessary to ensure with certainty the diagnosis of cirrhosis and especially chronic hepatitis, provided that no countraindications are found.
在塞内加尔的一家医院设立了实时超声检查，从而减少了腹腔镜检查的指征。对于肝脓肿、黄疸和“腹部肿块”的诊断，已放弃腹腔镜检查。对于肝细胞癌的初步检查，不再需要进行腹腔镜检查，因为超声检查和穿刺后的细胞学检查足以确诊。腹腔镜检查对于腹膜疾病仍然至关重要。在腹腔镜控制下进行肝穿刺活检对于确定肝硬化尤其是慢性肝炎的诊断仍然是必要的，前提是没有发现禁忌证。
