Page 22 - World's Most Popular Laparoscopic Journal

Amitabh Thakur

lymphomatous disease and 18 had benign lymphadenopathy. CONCLUSION
The false-negative rate for the laparoscopic procedures Laparoscopic retroperitoneal and mesenteric lymph node
was 6%. One patient required conversion to laparotomy biopsy is a safe and effective, minimally invasive alternative
for intraoperative hemorrhage. This compares favorably to open biopsy. It is a useful technique for obtaining tissue
with our review in which the conversion rate was 8%, and for histological evaluation when image-guided PFNA biopsy
laparoscopic biopsy provided diagnosis in 81(93%) cases, is either unsuccessful, unable to be performed, and when
while 6 required further work-up. Reported complications previously unsuspected lymphadenopathy is identified during
for laparoscopic biopsy are low. Mann et al reported no diagnostic laparoscopy. With its easy availability, early and
operative deaths with an 8% postoperative rate of compli- judicious use of laparoscopic biopsy should be considered
17
cations. In our series, there were no postoperative compli- in the work-up of patients with abdominal lymphadenopathy.
cations.
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