Skip to main content

Advertisement

SpringerLink
Log in

Diagnostic laparoscopy

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Diagnostic laparoscopy began in a surgical unit in a developing country in 1972. The developers of this technique aimed to hasten diagnosis, reduce patient distress, and improve bed utilization in an overcrowded teaching hospital wherein simple investigations such as x-rays took weeks to materialize. Over a period of 18 years reaching to 1990, 3,200 diagnostic laparoscopies were performed on adults under local anesthesia with no mortality, a complication rate of 0.09%, an 84% diagnosis rate, and 74% undergoing histologic biopsies targeting a wide spectrum of pathology. The equipment cost spread out over the 3,200 patients works out to 30 rupees ($0.60) per patient. With the availability of noninvasive diagnostic aids such as ultrasound, computed tomography, and magnetic resonance imaging used US, CT, MRI under the control of target biopsy, the role of diagnostic laparoscopy has altered. Since 1990, clinicians have had the sophistication of the video camera and the pneumoperitoneum insufflator. Diagnostic laparoscopy is used for the evaluation of liver and peritoneal pathology, abdominal tuberculosis, malignancy, acute abdomen, and abdominal trauma. It often is a prelude to laparoscopic treatment of the underlying pathology, specifically in cases of acute appendicitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. J Almeida D Sleeman JL Sosa I Puente M McKenney L Martin (1995) ArticleTitleAcalculus cholecystitis: the use of diagnostic laparoscopy. J Laparoendosc Surg 5 227–231 Occurrence Handle1:STN:280:BymD3svktV0%3D Occurrence Handle7579674

    CAS  PubMed  Google Scholar 

  2. CP Brandt PP Priebe ML Eckhauser (1993) ArticleTitleDiagnostic laparoscopy in the intensive care patient: avoiding the nontherapeutic laparotomy. Surg Endosc 7 168–172 Occurrence Handle1:STN:280:ByyB2snjslY%3D Occurrence Handle8503073

    CAS  PubMed  Google Scholar 

  3. N Carnevale N Baron HM Deleney (1997) ArticleTitlePeritoneoscopy as an aid in the diagnosis of abdominal trauma. J Trauma 17 634–637

    Google Scholar 

  4. TJ Connor IS Garcha BJ Ramshaw CW Mitchell JP Wilson EM Mason TD Duncan FA Dozier GW Lucas (1997) ArticleTitleDiagnostic laparoscopy for suspected appendicitis. Am Surg 61 187–189

    Google Scholar 

  5. SL Corson (1977) . JM Philips (Eds) Laparoscopy Williams and Wilkins Baltimore 98

    Google Scholar 

  6. B Gloor KE Todd HA Reber (1997) ArticleTitleDiagnostic workup of patients with suspected pancreatic carcinoma: the University of California-Los Angeles approach. Cancer 79 1780–1786 Occurrence Handle10.1002/(SICI)1097-0142(19970501)79:9<1780::AID-CNCR21>3.0.CO;2-T Occurrence Handle1:STN:280:ByiB2srhtVY%3D Occurrence Handle9128996

    Article  CAS  PubMed  Google Scholar 

  7. AA al Quorain MB Sethi et al. (1991) ArticleTitleTuberculous peritonitis: value of laparoscopy. Hepatogastroenterology 38 37–40 Occurrence Handle1668376

    PubMed  Google Scholar 

  8. NM Spirtos SM Eisenkop TW Spirtos RI Poliakin LT Hibbard (1987) ArticleTitleLaparoscopy: a diagnostic aid in cases of suspected appendicitis: its use in women of reproductive age. Am J Obstet Gynecol 156 90–94

    Google Scholar 

  9. E Stahel L Robyn E Burnier K Gyr G Stalder L Bianchi B Betschart N Weiss A Degremont M Tanner (1989) ArticleTitleLiver disease in rural Tanzania: a diagnostic approach. East Afr Med J 66 693–699 Occurrence Handle1:STN:280:By%2BC38nksFY%3D Occurrence Handle2533067

    CAS  PubMed  Google Scholar 

  10. RT Udwadia (1997) Laparoscopic appendicectomy in laparoscopic surgery in developing countries. TE Udwadia (Eds) . JAYPEE Brothers Medical Publishers New Delhi 218–237

    Google Scholar 

  11. TE Udwadia (1978) ArticleTitlePeritoneoscopy in the diagnosis of abdominal tuberculosis. Ind J Surg 40 91–95

    Google Scholar 

  12. TE Udwadia (1978) ArticleTitleRole of surgery in abdominal tuberculosis. J J J Group Hosp 14 34–37

    Google Scholar 

  13. TE Udwadia (1986) ArticleTitlePeritoneoscopy for surgeons. Ann R Coll Surg Engl 68 125–129 Occurrence Handle1:STN:280:BimB28jivFM%3D Occurrence Handle2942093

    CAS  PubMed  Google Scholar 

  14. TE Udwadia RT Udwadia K Menon P Kaul L Kukreja R Jain S Prasad (1995) ArticleTitleLaparoscopic surgery in the developing world: an overview of the Indian scene. Int Surg 80 371–375 Occurrence Handle1:STN:280:BymA3cbhvVY%3D Occurrence Handle8740688

    CAS  PubMed  Google Scholar 

  15. TE Udwadia (1997) ArticleTitleRole of laparoscopy in amoebic liver abscess. Bombay Hosp J 39 187–191

    Google Scholar 

  16. TE Udwadia (2001) ArticleTitleOne world – one people – one surgery. Surg Endosc 15 337–343 Occurrence Handle1:STN:280:DC%2BD38%2Fht1yisg%3D%3D Occurrence Handle11395812

    CAS  PubMed  Google Scholar 

  17. C Vargas LJ Jeffers D Bernstein KR Reddy S Munnangi S Behar C Scot T Parker ER Schiff (1995) ArticleTitleDiagnostic laparoscopy: a 5-year experience in a hepatology training program. Am J Gastroenterol 90 1258–1262 Occurrence Handle1:STN:280:ByqA28nksFY%3D Occurrence Handle7639226

    CAS  PubMed  Google Scholar 

  18. P Wilairatane S Wilairatane et al. (1993) ArticleTitleRole of diagnostic laparoscopic in fibro-adhesive tuberculous peritonitis. S E Asia J Trop Med Public Health 24 762–765

    Google Scholar 

  19. LF Zantut RR Ivatury RS Smith NT Kawahara JM Porter WR Fry R Poggetti D Birolini CH Organ Jr (1997) ArticleTitleDiagnostic and therapeutic laparoscopy for penetrating abdominal trauma: a multicenter experience. J Trauma 42 825–829 Occurrence Handle1:STN:280:ByiA3svpvFM%3D Occurrence Handle9191663

    CAS  PubMed  Google Scholar 

  20. AT Zhang X Liu GZ Zhang (1991) ArticleTitleDiagnostic value of fibrolaparoscopy and direct-vision peritoneal biopsy in a typical tuberculous peritonitis. Chung Hua Nei Ko Tsa Chih 30 286–308 Occurrence Handle1:STN:280:By6A2cjnvVY%3D Occurrence Handle1831746

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Minimal Access Surgery P.D., Hinduja National Hospital and Research Centre, and the Department of Surgery, B.D. Petit Parsee General Hospital, Breach Candy Hospital, Mumbai, India

    T. E. Udwadia

Authors
  1. T. E. Udwadia
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to T. E. Udwadia.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Udwadia, T. Diagnostic laparoscopy . Surg Endosc 18, 6–10 (2004). https://doi.org/10.1007/s00464-002-8872-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-002-8872-0

Keywords

Search

Navigation