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Mini-laparoscopy in the endoscopy unit: Safety and outcomes in over one thousand patients.
MedLine Citation:
PMID:  21258600     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
AIM: To investigate the safety of consecutive mini-laparoscopy guided liver biopsies for the diagnosis and staging of liver diseases.
METHODS: In this study we retrospectively analyzed the safety of mini-laparoscopic liver biopsy performed in an endoscopy unit in 1071 patients. We measured the incidence of bleeding and evaluated the management and outcome of bleeding interventions.
RESULTS: The most common etiologies of liver injury were viral hepatitis and autoimmune liver disease. 250 patients had macroscopically and histologically proven cirrhosis. 13 patients had no pathological findings. 33% of all patients had bleeding that required argon plasma coagulation of the puncture site during laparoscopy. Significant bleeding occurred more often in patients with liver cirrhosis compared to non-cirrhotic liver diseases but was effectively treated with laparoscopic coagulation.
CONCLUSION: In conclusion, mini-laparoscopy liver biopsy can be performed safely and effectively in high risk patients with advanced liver disease; mini-laparoscopy with liver biopsy can be done safely in an endoscopy unit.
Authors:
Arthur Hoffman; Fareed Rahman; Sarah Prengel; Marcus Schuchmann; Martin Gotz; Markus Moehler; Peter Robert Galle; Ziping Li; Anthony Nicholas Kalloo; Ralf Kiesslich
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastrointestinal endoscopy     Volume:  3     ISSN:  1948-5190     ISO Abbreviation:  World J Gastrointest Endosc     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-24     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101532474     Medline TA:  World J Gastrointest Endosc     Country:  China    
Other Details:
Languages:  eng     Pagination:  6-10     Citation Subset:  -    
Affiliation:
Arthur Hoffman, Fareed Rahman, Sarah Prengel, Marcus Schuchmann, Martin Gotz, Markus Moehler, Peter Robert Galle, Ralf Kiesslich, First Department of Internal Medicine, Johannes Gutenberg University Mainz, Mainz 55101, Germany.
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