Download PDF
Endoscopy 2002; 34(2): 146-153
DOI: 10.1055/s-2002-19847
State of the Art Review

© Georg Thieme Verlag Stuttgart · New York

Diagnostic Laparoscopy: An Update

U.  S.  Karnam 1 , K.  R.  Reddy 2
  • 1Center for Liver Diseases, University of Miami School of Medicine, Miami, Florida, USA
  • 2University of Pennsylvania, PA, USA
Further Information

Publication History





Publication Date:
14 August 2002 (online)

Also available at
    Permissions and Reprints

Diagnostic laparoscopy has been in use since the last century. Advances in technology, coupled with increasing evidence of enhanced outcomes following its use, have renewed interest in this modality. Diagnostic laparoscopy guides surgeons in preventing unnecessary laparotomies in settings of acute abdomen, oncologists for accurate staging of malignancies from the esophagus to the colon, and hepatologists in the evaluation of acute as well as chronic liver diseases. Prospective clinical studies are awaited that will allow experimental technological advances, refining the methods of diagnostic laparoscopy, to be translated into more widespread use.

References

  • 1 Bernheim B. Organoscopy: cystoscopy of the abdominal cavity.  Ann Surg. 1911;  53 764-767
    CrossrefPubMedGoogle Scholar
  • 2 Schauer P R, Ikramuddin S, Luketich J D. Minilaparoscopy.  Semin Laparosc Surg. 1999;  6 21-31
    PubMedGoogle Scholar
  • 3 Majewski W. Diagnostic laparoscopy for the acute abdomen and trauma.  Surg Endosc. 2000;  14 930-937
    CrossrefPubMedGoogle Scholar
  • 4 van den Broeck W T, Bijnen A B, van Eerten P V. et al . Selective use of diagnostic laparoscopy in patients with suspected appendicitis.  Surg Endosc. 2000;  14 938-941
    CrossrefPubMedGoogle Scholar
  • 5 Kraemer M, Ohmann C, Leppert R. et al . Macroscopic assessment of the appendix at diagnostic laparoscopy is reliable.  Surg Endosc. 2000;  14 625-633
    CrossrefPubMedGoogle Scholar
  • 6 Kelly J J, Puyana J C, Callery M P. et al . The feasibility and accuracy of diagnostic laparoscopy in the septic ICU patient.  Surg Endosc. 2000;  14 617-621
    CrossrefPubMedGoogle Scholar
  • 7 Moberg A C, Montgomery A. Introducing diagnostic laparoscopy for patients with acute appendicitis.  Surg Endosc. 2000;  14 942-947
    CrossrefPubMedGoogle Scholar
  • 8 Linhares L, Jeanpierre H, Borie F. et al . Lavage by laparoscopy fares better than lavage by laparotomy: experimental evidence.  Surg Endosc. 2001;  15 85-89
    CrossrefPubMedGoogle Scholar
  • 9 DeMaria E J, Dalton J M, Gore D C. et al . Complementary roles of laparoscopic abdominal exploration and diagnostic peritoneal lavage for evaluating abdominal stab wounds: a prospective study.  J Laparoendosc Adv Surg Tech. 2000;  10 131-136
    PubMedGoogle Scholar
  • 10 Larsson P G, Henriksson G, Olsson M. et al . Laparoscopy reduces unnecessary appendicectomies and improves diagnosis in fertile women: a randomized study.  Surg Endosc. 2001;  15 200-202
    CrossrefPubMedGoogle Scholar
  • 11 Matz A, Alis M, Charuzi I. et al . The role of laparoscopy in the diagnosis and treatment of missed diaphragmatic rupture.  Surg Endosc. 2000;  14 537-539
    CrossrefPubMedGoogle Scholar
  • 12 Katkhouda N, Mavor E. Laparoscopic management of benign liver disease.  Surg Clin North Am. 2000;  80 1203-1211
    CrossrefPubMedGoogle Scholar
  • 13 Inadomi J M, Kapur S, Kinkhabwala M. et al . The laparoscopic evaluation of ascites.  Gastrointest Endosc Clin N Am 200. 1;  11 79-91
    PubMedGoogle Scholar
  • 14 Mallat D, Jeffers D. The role of laparoscopy in the evaluation of liver transplant patients.  Gastrointest Endosc Clin N Am . 2001;  11 65-78
    PubMedGoogle Scholar
  • 15 Shiraki K, Shimizu A, Takase K et al. Prospective study of laparoscopic findings with regard to the development of hepatocellular carcinoma in patients with hepatitis C virus-associated cirrhosis.  Gastrointest Endosc. 2001;  53 449-455
    CrossrefPubMedGoogle Scholar
  • 16 Watanabe M, Sato S, Akagi S. et al . Are predictive laparoscopic findings for progression of viral liver diseases different between type B and C?.  Am J Gastroenterol. 2000;  95 2522
    PubMedGoogle Scholar
  • 17 Answini G A, Pratt B L, Greene F L. Strategies for laparoscopic diagnosis of malignancy.  Semin Laparosc Surg. 2000;  7 68-77
    CrossrefPubMedGoogle Scholar
  • 18 Pratt B L, Greene F L. Role of laparoscopy in the staging of malignant disease.  Surg Clin North Am. 2000;  80 1111-1126
    CrossrefPubMedGoogle Scholar
  • 19 Whelan R L. Laparotomy, laparoscopy, cancer and beyond.  Surg Endosc. 2001;  15 110-115
    CrossrefPubMedGoogle Scholar
  • 20 Heath E I, Kaufman H S, Talamini M A. et al . The role of laparoscopy in preoperative staging of esophageal cancer.  Surg Endosc. 2000;  14 495-499
    CrossrefPubMedGoogle Scholar
  • 21 Smith A, Finch M D, John T G. et al . Role of laparoscopic ultrasonography in the management of patients with esophagogastric cancer.  Br J Surg. 1999;  86 1083-1087
    CrossrefPubMedGoogle Scholar
  • 22 Luketich J D, Meehan M, Nguyen N T. et al . Minimally invasive surgical staging for esophageal cancer.  Surg Endosc. 2000;  14 700-702
    CrossrefPubMedGoogle Scholar
  • 23 Skelly R T, Taylor M A, Clements B WD. et al . Laparoscopy in the staging of upper gastrointestinal malignancy (abstract).  Gastroenterology. 2001;  120 A490
    PubMedGoogle Scholar
  • 24 Tsioulias G J, Wood T F, Chung M H. et al . Diagnostic laparoscopy and laparoscopic ultrasonography are essential for staging intraabdominal neoplasms (abstract).  Gastroenterology. 2001;  120 A482
    PubMedGoogle Scholar
  • 25 Reddy K R, Levi J, Livingstone A. et al . Experience with staging laparoscopy in pancreatic malignancy.  Gastrointest Endosc. 1999;  49 498-503
    PubMedGoogle Scholar
  • 26 Jimenez R E, Warshaw A L, Rattner D W. et al . Impact of laparoscopic staging in the treatment of pancreatic cancer.  Arch Surg. 2000;  135 409-415
    PubMedGoogle Scholar
  • 27 Pietrabissa A, Caramella D, di Candio G. et al . Laparoscopy and laparoscopic ultrasonography for staging pancreatic cancer: critical appraisal.  World J Surg. 1999;  23 998-1003
    CrossrefPubMedGoogle Scholar
  • 28 Pisters P WT, Lee J E, Vauthey J N. et al . Laparoscopy in the staging of pancreatic cancer.  Br J Surg. 2001;  88 325-337
    CrossrefPubMedGoogle Scholar
  • 29 Brooks A D, Mallis M, Brennan M F. et al . The value of laparoscopy in the management of non-pancreatic periampullary tumors (abstract).  Gastroenterology. 2001;  120 A106
    PubMedGoogle Scholar
  • 30 Berends F J, Cuesta M A, Kazemier G. et al . Laparoscopic detection and resection of insulinomas.  Surgery. 2000;  128 386-391
    CrossrefPubMedGoogle Scholar
  • 31 Milsom J W, Jerby B L, Kessler H. et al . Prospective, blinded comparison of laparoscopic ultrasonography vs. contrast-enhanced computerized tomography for liver assessment in patients undergoing colorectal carcinoma surgery.  Dis Colon Rectum. 2000;  43 44-49
    PubMedGoogle Scholar
  • 32 Rahusen F D, Cuesta M A, Borgstein P J. et al . Selection of patients for resection of colorectal metastases to the liver using diagnostic laparoscopy and laparoscopic ultrasonography.  Ann Surg. 1999;  230 31-37
    CrossrefPubMedGoogle Scholar
  • 33 Harley J E, Kumar H, Drew P J. et al . Laparoscopic ultrasound for the detection of hepatic metastases during colorectal cancer surgery.  Dis Colon Rectum. 2000;  43 320-325
    PubMedGoogle Scholar
  • 34 Sarli L, Costi R, Sansebastiano G. et al . Prospective randomized trial of low-pressure pneumoperitoneum for reduction of shoulder-tip pain following laparoscopy.  Br J Surg. 2000;  87 1161-1165
    CrossrefPubMedGoogle Scholar
  • 35 Neuhaus S J, Gupta A, Watson D I. Helium and other alternative insufflation gases for laparoscopy.  Surg Endosc. 2001;  15 553-560
    CrossrefPubMedGoogle Scholar
  • 36 Neuhaus S J, Ellis T, Barrett M W. et al . In vitro inhibition of tumor growth in a helium rich environment-implications for laparoscopic surgery.  Aust NZ J Surg. 1999;  69 52-55
    CrossrefPubMedGoogle Scholar
  • 37 Schneider C, Jung A, Reymond M A. et al . Efficacy of surgical measures in preventing port-site recurrences in a porcine model.  Surg Endosc. 2001;  15 121-125
    CrossrefPubMedGoogle Scholar
  • 38 Gahlen J, Pietschmann M, Prosst R L. et al . Systemic vs. local administration of δ-aminolevulinic acid for laparoscopic fluorescence diagnosis of malignant intra-abdominal tumors.  Surg Endosc. 2001;  15 196-199
    CrossrefPubMedGoogle Scholar
  • 39 Moritani M, Watanabe M, Akagi S. et al . Age-related indications and complications after diagnostic laparoscopy.  Am J Gastroenterol. 2001;  96 1941-1942
    PubMedGoogle Scholar
  • 40 Johnson P L, Siebert K S. Laparoscopy: gasless vs. CO2 pneumoperitoneum.  J Reprod Med. 1997;  42 255-259
    PubMedGoogle Scholar

K. Rajender Reddy, M.D., F.A.C.P., F.A.C.G.

Director of Hepathology · University of Pennsylvania · GI Division/3 Ravdin

3400 Spruce Street · Philadelphia · PA 19104 · USA ·

Fax: + 1-215-349-5915

Email: rajender.reddy@uphs.upenn.edu