RéSUMé
Les données de l’aspect laparoscopique du foie ont été evaluees chez 42 patientes atteintes de cirrhose biliaire primitive diagnostiquée sur base de données cliniques, biologiques, immunologiques et histopathologiques.
La laparoscopic,par elle-même, ne permet pas un diagnostic certain de CBP, les modifications macroscopiques du foie n’étant pas spécifiques de la maladie.
Seule la combinaison laparoscopie-biopsie hépatique, confrontée aux données cliniques, permet un diagnostic et une stadifica-tion précis, et en outre la possibilité de prévoir le mode évolutif de la CBP.
Summary
Laparoscopic findings of the liver in 42 patients with primary biliary cirrhosis diagnosed by clinical, biochemical, immunological and histological data, were investigated.
Laparoscopy per se cannot reach a certain diagnosis of PBC because the macroscopic changes of the liver are non-specific in this illness.
Only, a combined approach (laparoscopy + guided liver biopsy + clinical data) leads us to an accurate diagnosis and staging and gives us the possibility of better foreseeing the progressive course of PBC.
Resumen
Se valoran los datos sobre el aspecto del higado en la laparoscopia de 42 pacientes con cirrosis biliar primítiva diagnosticada en base a datos clínicos, biológicos, inmunológicos e histopatológicos.
La laparoscopia, por sí misma, no permite un diagnóstico de certeza de CBP, ya que las modificaciones macroscópicas del higado no son específicas de la enfermedad.
Tan sólo la combinatión laparoscopia-biopsia hepática, unida a los datos clínicos, permite un diagnóstico y estadiaje precisos, además de la posibilidad de preveer el tipo evolutivo de la CBP.
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Orlando, R., Sawadogo, A. & Okolicsanyi, L. Le rôle de la laparoscopie dans le diagnostic, la stadification et la surveillance de la cirrhose biliaire primitive. Acta Endosc 20, 85–92 (1990). https://doi.org/10.1007/BF02966605
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DOI: https://doi.org/10.1007/BF02966605