Laparoscopy of the liver: indications for
Laparoscopy is considered to be one of the most effective and relatively safe methods of instrumental diagnostics. However, at the same time it is characterized by the complexity and the complexity of implementation.
Brief description of the method
Peritoneoscope, also known as laparoscopy, is a conditionally new method, which is used in the diagnosis of diseases of the liver and bile ducts. With it is a study of abdominal organs with the use of medical endoscopes, through a puncture of the abdominal wall to enter the peritoneal cavity to perform various diagnostic and therapeutic manipulations under visual control.
In addition to the inspection of the abdominal cavity laparoscopy gives the opportunity to take from the body cells or tissues for diagnostic or research purposes — for example, is a liver biopsy. Peritoneoscopy using special instrument — a laparoscope. It consists of the following elements:
- the sleeve with the trocar;
- lighting tube;
- optical tubes, diagnostic and operating;
- elastic tool for performing biopsy.
Laparoscopic surgery starts with the procedure of pneumoperitoneum, the introduction into the abdominal cavity, room air, oxygen or carbon dioxide. To introduce the laparoscope into the abdominal wall choose a point with little vessels. The place where you will be introduced to the endoscope, anesthetized by the method of infiltration anesthesia. Then through the puncture into the abdominal cavity entered medical rigid endoscope, and make the necessary manipulations.
Laparoscopy is assigned in cases when non-invasive methods do not provide clear information for the diagnosis. Performed by highly skilled surgeon peritoneoscope is characterized by high diagnostic efficiency.
Indications and limitations
Peritoneoscope carried out to clarify the properties of many pathologies of the internal organs and enables to determine the boundaries of a tumor disease.
Laparoscopy is performed in the following cases:
- Liver pathology, the character and nature of which was not known in the study of other methods.
- Cholestatic jaundice, with unclear nature.
- Ascites is unclear cause. When ascites in endoscopic study are often not diagnosed liver cirrhosis and cancer or tuberculous peritonitis.
- Local pathology of the sheath of the abdominal cavity.
Contraindications to the appointment of peritoneoscopy are the following problems:
- the acute form of peritonitis;
- serious pathology of the heart and lungs;
- problems with blood clotting;
- acute intestinal obstruction;
- inflammation of the anterior abdominal wall.
Laparoscopy of the liver
Laparoscopy of the liver helps to clarify the features of many diseases: hepatitis, cirrhosis, cholecystitis, alopecia and other diseases of the liver. Due to the possibility of visual observation of the doctor in size of the liver, as its surface, colour, form of proliferation of connective tissue, their nature and density accurately determines a diagnosis and appoint adequate treatment of disease or invasive intervention.