Diagnostic laparoscopy
This report examines the value of laparoscopy as a diagnostic aid to one general surgeon. Seventy-seven consecutive patients who underwent this procedure are reported. In 31 patients, laparoscopy was performed for assessment of the cause of acute abdominal pain. Diagnosis was achieved in 28 patients...
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| Veröffentlicht in: | The American journal of surgery 1989-05, Vol.157 (5), p.490-493 |
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| container_title | The American journal of surgery |
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| creator | Nagy, Alexander G. James, David |
| description | This report examines the value of laparoscopy as a diagnostic aid to one general surgeon. Seventy-seven consecutive patients who underwent this procedure are reported. In 31 patients, laparoscopy was performed for assessment of the cause of acute abdominal pain. Diagnosis was achieved in 28 patients (90 percent) and laparotomy was avoided in 17 (55 percent). Assessment of chronic abdominal pain in 11 patients yielded a diagnostic accuracy in 9 (82 percent) and laparotomy was avoided in 7 (64 percent). In 11 patients with abdominal trauma, diagnostic accuracy was 91 percent (10 of 11 patients) and laparotomy was not required in 6 (54 percent). In 21 patients with intraabdominal malignancy, 14 (67 percent) were accurately assessed, and in 8 (38 percent) formal exploration was spared. Three patients with obscure causes of ascites and jaundice were all accurately assessed without need for laparotomy. Based on our data, we believe the reports in the literature are reproducible by any abdominal surgeon who uses laparoscopy as a diagnostic aid in their practice. |
| doi_str_mv | 10.1016/0002-9610(89)90642-9 |
| format | Article |
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Seventy-seven consecutive patients who underwent this procedure are reported. In 31 patients, laparoscopy was performed for assessment of the cause of acute abdominal pain. Diagnosis was achieved in 28 patients (90 percent) and laparotomy was avoided in 17 (55 percent). Assessment of chronic abdominal pain in 11 patients yielded a diagnostic accuracy in 9 (82 percent) and laparotomy was avoided in 7 (64 percent). In 11 patients with abdominal trauma, diagnostic accuracy was 91 percent (10 of 11 patients) and laparotomy was not required in 6 (54 percent). In 21 patients with intraabdominal malignancy, 14 (67 percent) were accurately assessed, and in 8 (38 percent) formal exploration was spared. Three patients with obscure causes of ascites and jaundice were all accurately assessed without need for laparotomy. Based on our data, we believe the reports in the literature are reproducible by any abdominal surgeon who uses laparoscopy as a diagnostic aid in their practice.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/0002-9610(89)90642-9</identifier><identifier>PMID: 2523669</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Abdomen ; Abdomen, Acute - diagnosis ; Abdominal Injuries - diagnosis ; Abdominal Neoplasms - diagnosis ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Chronic Disease ; Diagnostic Techniques, Surgical ; Digestive system. Abdomen ; Endoscopy ; Evaluation Studies as Topic ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy ; Liver Diseases - diagnosis ; Male ; Medical sciences ; Middle Aged ; Pain - diagnosis</subject><ispartof>The American journal of surgery, 1989-05, Vol.157 (5), p.490-493</ispartof><rights>1989</rights><rights>1991 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-4f0dd16714b60b0471ec33942d4df85132da18e9da689b8aaa4353ee663964aa3</citedby><cites>FETCH-LOGICAL-c387t-4f0dd16714b60b0471ec33942d4df85132da18e9da689b8aaa4353ee663964aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0002961089906429$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19719734$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2523669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagy, Alexander G.</creatorcontrib><creatorcontrib>James, David</creatorcontrib><title>Diagnostic laparoscopy</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>This report examines the value of laparoscopy as a diagnostic aid to one general surgeon. Seventy-seven consecutive patients who underwent this procedure are reported. In 31 patients, laparoscopy was performed for assessment of the cause of acute abdominal pain. Diagnosis was achieved in 28 patients (90 percent) and laparotomy was avoided in 17 (55 percent). Assessment of chronic abdominal pain in 11 patients yielded a diagnostic accuracy in 9 (82 percent) and laparotomy was avoided in 7 (64 percent). In 11 patients with abdominal trauma, diagnostic accuracy was 91 percent (10 of 11 patients) and laparotomy was not required in 6 (54 percent). In 21 patients with intraabdominal malignancy, 14 (67 percent) were accurately assessed, and in 8 (38 percent) formal exploration was spared. Three patients with obscure causes of ascites and jaundice were all accurately assessed without need for laparotomy. Based on our data, we believe the reports in the literature are reproducible by any abdominal surgeon who uses laparoscopy as a diagnostic aid in their practice.</description><subject>Abdomen</subject><subject>Abdomen, Acute - diagnosis</subject><subject>Abdominal Injuries - diagnosis</subject><subject>Abdominal Neoplasms - diagnosis</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Diagnostic Techniques, Surgical</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy</subject><subject>Liver Diseases - diagnosis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pain - diagnosis</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1LAzEQxYMotVavnhS8KHpYTTZpNrkIUj-h4EXPYTaZlch2d022Qv97U7vUmxAIw_zm8d4j5ITRa0aZvKGU5pmWjF4qfaWpFGnaIWOmCp0xpfguGW-RfXIQ42caGRN8REb5NOdS6jE5vvfw0bSx9_ashg5CG23brQ7JXgV1xKPhn5D3x4e32XM2f316md3NM8tV0Weios4xWTBRSlpSUTC0nGuRO-EqNWU8d8AUagdS6VIBgOBTjigl11IA8Am52Oh2of1aYuzNwkeLdQ0NtstoCqVzkfwnUGxAmxzGgJXpgl9AWBlGzboOs85q1lmN0ua3DqPT2emgvywX6LZHQ_60Px_2EC3UVYDG-vinrYv0uEjc7YbDVMa3x2Ci9dhYdD6g7Y1r_f9GfgC1gnk7</recordid><startdate>19890501</startdate><enddate>19890501</enddate><creator>Nagy, Alexander G.</creator><creator>James, David</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19890501</creationdate><title>Diagnostic laparoscopy</title><author>Nagy, Alexander G. ; James, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-4f0dd16714b60b0471ec33942d4df85132da18e9da689b8aaa4353ee663964aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Abdomen</topic><topic>Abdomen, Acute - diagnosis</topic><topic>Abdominal Injuries - diagnosis</topic><topic>Abdominal Neoplasms - diagnosis</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Diagnostic Techniques, Surgical</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy</topic><topic>Liver Diseases - diagnosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pain - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nagy, Alexander G.</creatorcontrib><creatorcontrib>James, David</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nagy, Alexander G.</au><au>James, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic laparoscopy</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1989-05-01</date><risdate>1989</risdate><volume>157</volume><issue>5</issue><spage>490</spage><epage>493</epage><pages>490-493</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>This report examines the value of laparoscopy as a diagnostic aid to one general surgeon. Seventy-seven consecutive patients who underwent this procedure are reported. In 31 patients, laparoscopy was performed for assessment of the cause of acute abdominal pain. Diagnosis was achieved in 28 patients (90 percent) and laparotomy was avoided in 17 (55 percent). Assessment of chronic abdominal pain in 11 patients yielded a diagnostic accuracy in 9 (82 percent) and laparotomy was avoided in 7 (64 percent). In 11 patients with abdominal trauma, diagnostic accuracy was 91 percent (10 of 11 patients) and laparotomy was not required in 6 (54 percent). In 21 patients with intraabdominal malignancy, 14 (67 percent) were accurately assessed, and in 8 (38 percent) formal exploration was spared. Three patients with obscure causes of ascites and jaundice were all accurately assessed without need for laparotomy. Based on our data, we believe the reports in the literature are reproducible by any abdominal surgeon who uses laparoscopy as a diagnostic aid in their practice.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>2523669</pmid><doi>10.1016/0002-9610(89)90642-9</doi><tpages>4</tpages></addata></record> |
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| ispartof | The American journal of surgery, 1989-05, Vol.157 (5), p.490-493 |
| issn | 0002-9610 1879-1883 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Abdomen Abdomen, Acute - diagnosis Abdominal Injuries - diagnosis Abdominal Neoplasms - diagnosis Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Chronic Disease Diagnostic Techniques, Surgical Digestive system. Abdomen Endoscopy Evaluation Studies as Topic Female Humans Investigative techniques, diagnostic techniques (general aspects) Laparoscopy Liver Diseases - diagnosis Male Medical sciences Middle Aged Pain - diagnosis |
| title | Diagnostic laparoscopy |
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