Lightdale C J
Cancer. 1982 Dec 1;50(11 Suppl):2672-5.
Laparoscopy is highly effective in diagnosing malignant liver disease, with overall accuracy in the 90% range. Up to 80% of the liver surface can be inspected, and biopsies can be directed with precision. A major advantage over scan guided percutaneous techniques is the ability to detect and biopsy lesions only a few millimeters in size on the liver surface. Laparoscopy is useful in staging the liver for metastatic disease during evaluation for treatment of primary cancers. Small peritoneal metastases may also be discovered and biopsied. Primary liver cancers and isolated metastatic deposits can be assessed for resectability, and diagnostic laparotomy can often be avoided. Laparoscopy is safely performed under local anesthesia and mild sedation.
腹腔镜检查在诊断恶性肝脏疾病方面非常有效，总体准确率在90%左右。可检查高达80%的肝脏表面，且活检操作精准。与扫描引导下的经皮技术相比，一个主要优势在于能够检测并活检肝脏表面仅几毫米大小的病变。在评估原发性癌症的治疗过程中，腹腔镜检查有助于对肝脏进行转移性疾病分期。还可发现并活检小的腹膜转移灶。对于原发性肝癌和孤立性转移灶，可评估其可切除性，且常常可避免诊断性剖腹手术。腹腔镜检查在局部麻醉和轻度镇静下可安全进行。
