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KMID : 0371319950490020153
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Journal of the Korean Surgical Society
1995 Volume.49 No. 2 p.153 ~ p.158
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The Clinical Significance of thd Diagnostic Laparoscopy in General Surgery:
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이삼열
윤한상/김우영/박윤규/정을삼
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Abstract
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This retrospective study of 12 patients was designed if diagnostic laparoscopy is valuable in decreasing the non-therapeutic laparotomy of advanced malignancies and in assessing the patient with equivocal conditions of intra-abdominal pathology
or
injury.
One of 5 patients of advanced stomach cancer could avoid undergoing unnecessary laparotomy according to the laparoscopic finding. 3 patients showing equivocal clinical findings of appendicitis were confirmed by diagnostic laproscopy as following:
PID;
ovarian cyst; Meckel's diverticulum
In summary, 7 patients(58.3%) underwent diagnostic laparoscopy and laparotomy and authors performed laparoscopy for the purpose of diagnosis and treatment in 3 patients(25%). 2(16.7%) patients(one metastatic malignancy & one small sized ovarian
cyst)
underwent diagnostic laparoscopy only.
Authors suggest the followings; First diagnostic laparoscopy is available to decrease the non-therapeutc laparotomy especially in advanced malignancy. Second, laparoscopy is one of the safe and accurate methods in assessing the patients with
equivocal
and vague findings. Third, There are "Bling-points" of laparoscopy such as lesser omental sac, retroperitoneum and diaphragm(posterior part).
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KEYWORD
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