Laparoscopy and Imaging Techniques

ISBN-13: 9783642746475 / Angielski / Miękka / 2014 / 208 str.

Giorgio Dagnini; Sara Pearcey; F. Vilardell

Opis

General Section. Progress in laparoscopy (new instruments, technical innovations, integration between laparoscopy and sonography). Special Section. Traditional and present indications for laparoscopy. Laparoscopy inliver diseases. Oncological lapaoscopy (diagnosis, staging and follow-up for malignant tumors). Emergency laparoscopy.

Spis treści

I Progress in Laparoscopy.- 1 New Instruments.- 1.1 Fine Needles for Pneumoperitoneum.- 1.1.1 Veress Needle.- 1.1.2 Fine Needle.- 1.1.3 Conclusions.- 1.2 Laparoscopy with Flexible Instruments.- 1.2.1 Fiberscope Used as a Laparoscope.- 1.2.2 Rigid Laparoscope with a Mobile Head.- 1.2.3 Conclusions.- 1.3 Bio-Plug.- 1.3.1 Instrument and Technique.- 1.3.2 Results.- 1.3.3 Conclusions.- 2 Integration of Laparoscopy with Sonography.- 2.1 Echolaparoscopy.- 2.1.1 Instruments.- 2.1.2 Technique.- 2.1.3 Results.- 2.1.4 Clinical Applications.- 2.1.5 Practical Value.- 2.1.6 Conclusions.- 2.2 Sonography for Laparoscopy.- 2.2.1 Sonography Before Pneumoperitoneum.- 2.2.2 Sonography After Pneumoperitoneum.- 2.2.3 Sonography After Laparoscopy.- 2.2.4 Conclusions.- 3 Technical Innovations.- 3.1 Laparoscopic Exploration of the Pancreas.- 3.1.1 Technique.- 3.1.2 Interpretation of Laparoscopic Findings.- 3.1.3 Present Value.- 3.1.4 Conclusions.- 3.2 Operative Laparoscopy.- 3.2.1 Technique.- 3.2.2 Lysis of Adhesions for Diagnostic Purposes.- 3.2.3 Lysis of Algogenic Adhesions.- 3.2.4 Puncturing and Drainage of Cystic Formations.- 3.2.5 Puncturing and Drainage of Abscesses.- 3.2.6 Endoscopic Operations for Laparoscopic Accidents.- 3.2.7 Conclusions.- 3.3 Laparoscopy in Patients with Possible Endoabdominal Adhesions.- 3.3.1 Risks.- 3.3.2 Results.- 3.3.3 Conclusions.- 3.4 Laparoscopic Biopsy.- 3.4.1 Biopsy of Peritoneum, Mesentery, and Omentum.- 3.4.2 Liver Biopsy.- 3.4.3 Pancreas Biopsy.- 3.4.4 Splenic Biopsy.- 3.5 Disinfection of Instruments.- 3.5.1 Current Precautions and Disinfection Procedures.- 3.5.2 Conclusions.- II Present Uses of Laparoscopy.- 4 Traditional Indications for Laparoscopy.- 4.1 Ascites.- 4.1.1 Present Indications for Laparoscopy.- 4.1.2 False Ascites.- 4.1.3 Conclusions.- 4.2 Hepatomegaly.- 4.2.1 False Hepatomegaly.- 4.2.2 Conclusions.- 4.3 Splenomegaly.- 4.3.1 Present Indications for Laparoscopy.- 4.3.2 Main Laparoscopic Findings.- 4.3.3 Conclusions.- 4.4 Abdominal Masses.- 4.4.1 Present Indications for Laparoscopy.- 4.4.2 Conclusions.- 4.5 Jaundice.- 4.5.1 Present Indications for Laparoscopy.- 4.5.2 Main Laparoscopic Findings.- 4.5.3 Conclusions.- 4.6 Abdominal Pain.- 4.6.1 Present Indications for Laparoscopy.- 4.6.2 Main Laparoscopic Findings.- 4.6.3 Conclusions.- 4.7 Fever.- 4.7.1 Present Indications for Laparoscopy.- 4.7.2 Main Laparoscopic Findings.- 4.7.3 Conclusions.- 5 Liver Diseases.- 5.1 Diffuse Noncirrhotic Liver Diseases.- 5.1.1 Alcoholic Liver Disease.- 5.1.2 Chronic Hepatitis.- 5.1.3 Conclusions.- 5.2 Cirrhosis of the Liver.- 5.2.1 Main Laparoscopic Findings.- 5.2.2 Etiological Diagnosis.- 5.2.3 Liver Biopsy.- 5.2.4 Laparoscopic Classification.- 5.2.5 Cirrhosis and Liver Tumors.- 5.2.6 Present Indications for Laparoscopy.- 5.2.7 Conclusions.- 5.3 Focal Liver Lesions.- 5.3.1 Present Indications for Laparoscopy.- 5.3.2 Conclusions.- 5.4 Portal Hypertension.- 5.4.1 Main Laparoscopic Findings.- 5.4.2 Present Indications for Laparoscopy.- 5.4.3 Conclusions.- 6 Laparoscopy in Oncology.- 6.1 Staging of Malignant Tumors.- 6.2 Follow-up and Restaging.- 6.3 Systemic Tumors: Malignant Lymphomas.- 6.3.1 Imaging Techniques.- 6.3.2 Progress in Oncological Laparoscopy.- 6.3.3 Present Indications for Laparoscopy.- 6.4 Primary Extraabdominal Tumors.- 6.4.1 Breast Cancer.- 6.4.2 Esophageal Carcinoma.- 6.4.3 Lung Tumors.- 6.4.4 Melanoblastoma.- 6.5 Primary Endoabdominal Tumors.- 6.5.1 Stomach Carcinoma.- 6.5.2 Intestinal Tumors.- 6.5.3 Pancreatic Tumors.- 6.5.4 Liver Carcinoma.- 6.5.5 Ovarian Carcinoma.- 6.6 Conclusions.- 7 Emergency Laparoscopy.- 7.1 Present Indications for Laparoscopy.- 7.1.1 Acute Spontaneous Abdomen.- 7.1.2 Abdominal Trauma.- 7.2 Conclusions.