Advertisement

Acta Endoscopica

, 17:85 | Cite as

Does ultrasonically guided biopsy modify indications to laparoscopy in hepatology?

  • L. Buscarini
  • G. Sbolli
  • G. Civardi
  • M. Di Stasi
  • S. Fermi
  • Elisabetta Buscarini
  • L. Cavanna
  • F. Fornari
Case report

Summary

We compared the indications of two series of laparoscopies performed before and after the introduction in our service of percutaneous ultrasonically guided fine needle biopsy.

After we began to use this technique, the number of laparoscopies performed to diagnose hepatic metastases became significantly lower; at the same time laparoscopies performed to type chronic hepatopathies increased.

Key-words

percutaneous ultrasonically guided biopsy focal liver lesions laparoscopy 

La biopsie percutanée guidée sous échographie modifie-t-elle les indications de la laparoscopie en hépatologie?

RÉsumÉ

Les auteurs ont comparé les indications de la laparoscopie dans deux séries d’examens effectués avant et après l’l’introduction de la ponction percutanée échoguidée à l’aiguille fine.

Après emploi de cette dernière technique, le nombre de laparoscopies pour diagnostic de métastases hépatiques a été réduit de façon significative et le nombre de laparoscopies pratiquées pour diagnostic d’hépatopathies chroniques a augmenté de façon correspondante.

Mots-clés

biopsie percutanée guidée sous échographie foie nodulaire laparoscopie 

RÉfÉrences

  1. 1.
    BRUNELLE F., CHAUMONT P. - Hepatic tumors in children: ultrasonic differentiation of malignant from benign lesions.Radiology, 1984,150, 695–699.PubMedGoogle Scholar
  2. 2.
    BUSCARINI E., FORNARI F., CAVANNA L., DISTASI M., CIVARDI G., BUSCARINI L. - Laparoscopia ed ecograpfia nella diagnosi di epatopatia cronica e di neoplasia.Ultrasuonodiagnostica, 1985,6, 15–22.Google Scholar
  3. 3.
    Buscarini L. - La laparoscopia. In Buscarini L., Fornari F. - Progressi in epatologia. Piccin ed., Padova, 1982.Google Scholar
  4. 4.
    BUSCARINI L., CAVANNA L., FORNARI F., ROSSI S., BUSCARINI E. -Ultrasonically guided fine-needle biopsy: a new useful technique in pathological staging of malignant lymphoma.Acta Haematol, 1985,73, 150–152.PubMedCrossRefGoogle Scholar
  5. 5.
    BUSCARINI L., SBOLLI G., CAVANNA L., CIVARDI G., DISTASI M., BUSCARINI E. - Clinical and diagnostic features of 67 cases with hepatocellular carcinoma.Oncology, 1987,44, 93–97.PubMedGoogle Scholar
  6. 6.
    CAVANNA L., FORNARI F., BUSCARINI E., FORONI R., ROSSI S., BUSCARINI L. - Ultrasonically guided fine needle aspiration biopsy of abdominal lesions in pathological staging of non-Hodgkin lymphomas.Haematologica, 1985,70, 132–135.PubMedGoogle Scholar
  7. 7.
    CHLEBOWSKI R. T., TONG M., WEISSMAN J., BLOCK J. B., RAMMING K. P., WEINER J. M., BATEMAN J. R., CHLEBOWSKI J. S. - Hepato cellular carcinoma. Diagnostic and prognostic features in north american patients.Cancer, 1984,53, 2701–2706.PubMedCrossRefGoogle Scholar
  8. 8.
    CIVARDI G., FORNARI F., CAVANNA L., DISTASI M., ROSSI S., BUSCARINI E., BUSCARINI L. - Ultrasonically guided fine-needle aspiration biopsy (UGFNAB): a useful technique for the diagnosis of abdominal malignancies.Eur. J. Cancer Clin. Oncol., 1986,22, 225- 227.PubMedCrossRefGoogle Scholar
  9. 9.
    DAGNINI G. - Il momento attuale della laparoscopia. Premessa per un bilancio.Giorn. Ital. End. Dig., 1984,7, 1–8.Google Scholar
  10. 10.
    DUBBINS P. A., O’RIORDAND D., MELIA W. M. - Ultrasound in hepatoma: can specific diagnosis be made?.Brit. J. Radiol, 1981,54, 307–311.PubMedGoogle Scholar
  11. 11.
    Fornari F., Cavanna L., Foroni R., Rossi S., Tansini P., Groppi F., Buscarini L. - Ultrasound guided fine-needle biopsy: accuracy of the procedure in the diagnosis of hepatocellular carcinoma. In Labo’ G., Bolondi L., Rizzatto G. eds. Clinical Advances in Ultrasonology 2. Masson Italia ed., Milano, 1984, 61–66.Google Scholar
  12. 12.
    FORNARI F., CAVANNA L., CIVARDI G., FORONI R., ROSSI S., TANSINI P., DISTASI M., BUSCARINI E., BUSCARINI L. - Ultrasonically guided fine-needle aspiration biopsy: first-stage invasive procedure in the diagnosis of focal lesions of the liver.Ital. J. Gastroenterol, 1985,17, 246–251.Google Scholar
  13. 13.
    Fornari F., Civardi G., Buscarini E. - Fegato. In Livraghi T., Solbiati L., Rizzatto G., Buscarini L., Fornari F.- Ecografia interventistica. Masson Italia ed., Milano, 1986, 71–86.Google Scholar
  14. 14.
    Haubeck A. - Puncture of focal liver lesions. In Holm H. H., Kristensen J. K. - Interventional Ultrasound. Munkgaard ed., Copenaghen, 1985, 43–53.Google Scholar
  15. 15.
    MAHARAY B., MAHARAY R. J., LEARY W. P., COOPAN R. M., NARAN D., PIRIE D., PUDIFIN D. J. - Sampling variability and its influence on the diagnostic yield of percutaneous needle biopsy of the liver.Lancet, 1986,1, 523–525.CrossRefGoogle Scholar
  16. 16.
    OTTO R. - Ponctions percutanées sous contrôle ultrasonographique: un nouveau procédé diagnostic.Acta Endoscopica, 1982,12, 365–371.Google Scholar
  17. 17.
    RICHARD P. H., BONNIAUD P., BARTHÉLÉMY C., ÉTAIX J. P., VEYRET C. N., AUDIGIER J. C., FRAISSE H. - Valeur de l’ultrasonographie dans le diagnostic des cirrhoses. Etude prospective de 128 patients.J. Radiol., 1985,66, 503–506.PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • L. Buscarini
    • 1
  • G. Sbolli
    • 1
  • G. Civardi
    • 1
  • M. Di Stasi
    • 1
  • S. Fermi
    • 1
  • Elisabetta Buscarini
    • 1
  • L. Cavanna
    • 1
  • F. Fornari
    • 1
  1. 1.I Divisione di MedicinaServizio di GastroenterologiaPiacenzaItalia

Personalised recommendations