Introduction
Diagnostic laparoscopy is a technique for viewing and for the biopsy of organs of the abdominal cavity. The technique involves distension of the abdominal cavity with gas followed by placement of a rigid telescope through a portal in the abdominal wall to examine the contents of the peritoneal cavity.
Biopsy forceps or other instruments are then passed into the abdomen through adjacent portals to perform various diagnostic procedures.As with the advent of newer laboratory tests and imaging techniques, laparoscopy has also become a valuable diagnostic tool for many gastroenterology cases when appropriately applied. The limited degree of invasiveness, diagnostic accuracy, and rapid patient recovery make laparoscopy an ideal technique for tissue biopsy or to perform selected ancillary procedures. Although an increasing number of diagnostic and surgical procedures are currently being performed using laparoscopy, this chapter will only concentrate on laparoscopic techniques associated with the gastrointestinal tract, including the liver and the pancreas.
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