Der Wert der Laparoskopie für die Diagnostik der Echinokokkose der Leber

Summary

Out of 500 peritoneoscopies 23 patients with echinococcus were found. Correct diagnosis was established by clinico-, radiologico- biological means in 10, by peritoneoscopy in 20, in 3 patients by laparotomy. False diagnosis of hydatidosis was made in 2 patients with nephrogenic cysts which caused some displacement of the posterior surface of the liver. Thickening of the wall of the cyst and irregular vascularization may render the diagnosis more difficult, the use of a probe may be helpful in differentiating metastases. Adhesions near the cysts were found in about 50 per cent of the patients, which in 3 subjects impeded visualization. Anaphylactic reactions may occur after puncture of a cystic lesion.

Key-Words

Hydatidosis - echinococcosis - peritoneoscopy - liver cysts