Laparoscopic Liver Biopsy
Operative management of liver disorders begins with their recognition and diagnosis. There are many initiation points that lead to diagnosis and treatment of specific disorders. Most often, cysts or solid lesions of the liver are found incidentally on ultrasound or computed tomography (GT). From this point further noninvasive or invasive tests may be performed to define pathology and guide therapy. Liver biopsy is one of the invasive tests the physician may choose to help in the diagnosis and management of the patient with liver disease. Indications for liver biopsy fall broadly into one of two categories: 1) biopsy for diagnosis of lesions identified by an imaging study; or 2) biopsy of the liver to evaluate status of the liver in diseases involving the whole liver parenchyma (Table 11–1). Percutaneous liver biopsy for the evaluation of liver masses is rarely indicated, as the information afforded is of limited value; a specimen may reveal normal liver tissue, which may represent a poorly obtained sampling of the lesion or it may reveal pathologic tissue. In either case the patient will need further operative evaluation.
KeywordsLiver Biopsy Hepatic Duct Caudate Lobe Porta Hepatis Falciform Ligament
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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