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April 1992

The Utility of Diagnostic Laparoscopy for Abdominal Disorders: Audit of 120 Patients

Author Affiliations

From the Department of Surgery, University of California, San Diego Medical Center (Dr Easter), and the Department of Surgery, Ninewells Hospital and Medical School, Dundee, Scotland (Drs Cuschieri, Nathanson, and Lavelle-Jones).

Arch Surg. 1992;127(4):379-383. doi:10.1001/archsurg.1992.01420040021002

• We audited our recent experience with diagnostic laparoscopy performed over a 30-month period on 131 consecutive patients. Laparoscopy was 100% accurate in the diagnosis or exclusion of intra-abdominal malignant neoplasms, and future care decisions were affected by this information. Laparoscopy in the evaluation of chronic abdominal pain yielded positive findings in 47% of cases. The majority of referrals (73%) for the investigation of chronic abdominal pain came from the medical services, whereas the majority of referrals (72%) for the investigation of cancer originated from surgeons. Laparoscopy in the setting of acute abdominal pain yielded useful information that affected patient outcomes in 71% of cases. There were no serious complications in this series. Laparoscopy is a safe and useful diagnostic tool, especially for the diagnosis, staging, or exclusion of cancer.

(Arch Surg. 1992;127:379-383)

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