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Acta Endoscopica

, Volume 19, Issue 4, pp 275–280 | Cite as

La laparoscopie est-elle encore utile au diagnostic étiologique de I’ictère?

  • R. Orlando
  • F. Lirussi
  • L. Okolicsanyi
Article

Résumé

Depuis l’introduction et le large emploi des nouvelles techniques d’imagerie telles que l’ultrasonographie (US), la tomographie computérisée (TC), les indications de la laparoscopie ont été modifiées. Néanmoins, nos résultats concernant 180 patients ictériques montrent que la laparoscopie demeure une technique d’investigation efficace dans le diagnostic de I’ictère, en particulier lorsque les causes de celui-ci résultent d’une affection hépatique diffuse telle qu'une hépatite chronique, une cirrhose, une cirrhose biliaire primitive ou de métastases hépatiques.

En conclusion, cette technique doit etre réalisée lorsque tous les precédés ont échoué dans la tentative d’établir le diagnostic final, ce qui dans la plupart des cas permet d’éviter une laparotomie exploratrice.

Mots-clés

biopsie hépatique ictère laparoscopie 

Is laparoscopy still useful in the diagnosis of jaundiced patients?

Summary

Following the introduction and widespread use of newer imaging techniques such as ultrasonography (US), computed tomography (CT), the indications for laparoscopy have changed. However, our results concerning 180 jaundiced patients show that laparoscopy remains an efficient mean of investigation for the diagnosis of jaundice, particularly when this disorder is due to a diffuse liver disease such as chronic hepatitis, cirrhosis, PBC, hepatic metastases.

In conclusion, this technique should be carried out when other procedures have failed to establish a final diagnosis, thus avoiding exploratory laparotomy in most cases.

Key-words

hepatic biopsy jaundice laparoscopy 

Es todavia de utilidad la laparoscopia en el diagnostico etiologico de la ictericia?

Resumen

Desde la introducción y gran utilización de nuevas técnicas de imagen (ultrasonografía US y tomografía computarizada TC), las indicaciones de la laparoscopia se han visto modificadas. Sin embargo, los resultados de un estudio de 180 pacientes con ictericia desmuestran que la laparoscopia continúa siendo una lécnica eficaz de estudio en el diagnóstico de la ictericia, en particular cuando la causa de la misma se debe a una afección difusa, tal como la hepatitis crónica, la cirrosis, la cirrosis biliar primitiva o las metástasis hepáticas.

En conclusion, esta lécnica debe ser realizada en los casos en los que las demás exploraciones no hayan logrado el diagnostico final, lo que permite además, evilar laparotomías exploradoras.

Palabras clave

biopsia hepatica ictericia laparoscopia 

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Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • R. Orlando
    • 1
  • F. Lirussi
    • 1
  • L. Okolicsanyi
    • 1
  1. 1.Institute of Internal MedicineUniversity of PaduaPadova(Italy)

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