Laparoscopy has been employed mainly in liver diseases. Although there have been many
reports dealing with intraabdominal lesions other than those of the liver, there have
been few concerning the pancreas. Because of its anatomical characteristics, the laparoscopic
approach to the pancreas has been extremely difficult. For endoscopic diagnosis of
pancreatic lesions, we have developed a 2-channel operating laparoscope. Using a supragastric
approach through the lesser omentum, the scope is inserted into the lesser peritoneal
sac for direct inspection of the pancreas. In this paper, the method of lesser omentotomy
and the diagnostic results are described.
Laparoscopy - 2-channel operating laparoscope - Pancreatitis - Pancreatic carcinoma
- Pancreatic biopsy
