RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187820529
T1 Diagnostic Laparoscopy
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187820529
RD 2024/04/20
AB Indications  for  diagnostic  laparoscopy  can  be  divided  into  three  broad  groups.  Gynecologic  conditions  include  infertility,  endometriosis,  primary  amenorrhea,  pelvic  pain  in  the  female,  and  to  rule  out  appendicitis  in  women  with  pelvic  pain.  In  an  effort  to  accurately  diagnose  or  stage  cancer,  patients  with  gastric,  esophageal,  or  pancreatic  cancer  may  undergo  diagnostic  laparoscopy  to  stage  the  disease  and  determine  resectability  or  direct  further  treatment.  In  patients  with  intra-abdominal  lymphadenopathy,  in  whom  lymphoma  is  a  possibility,  diagnostic  laparoscopy  is  indicated  to  biopsy  a  representative  lymph  node  to  make  the  diagnosis.  Benign  conditions  represent  the  third  group  that  may  benefit  from  diagnostic  laparoscopy.  Patients  (typically  those  who  have  undergone  previous  abdominal  procedures)  with  chronic  abdominal  pain  and  intermittent  partial  small  bowel  obstructions  may  benefit  from  diagnostic  laparoscopy  and  adhesiolysis.  Patients  with  symptoms  suggestive  of  an  inguinal  hernia  but  who  lack  a  clear  inguinal  hernia  on  physical  examination  may  benefit  from  diagnostic  laparoscopy.  These  patients  may  then  be  repaired  laparoscopically.  In  patients  with  a  unilateral  inguinal  hernia,  laparoscopy  can  diagnose  an  inguinal  hernia  on  the  contralateral  side  to  rule  out  a  contralateral  hernia.  The  laparoscopic  incisions  cause  less  pain,  and  there  is  a  faster  return  to  normal  activities  or  work  in  the  event  that  no  therapeutic  maneuvers  are  undertaken.