PubMed Health⌕ Search

PubMed · 6213541

[Blind liver puncture or laparoscopy?].

Abstract

The discussions as to the priority of laparoscopy or blind liver puncture have not ended in a "either-or" decision, but, rather, have come out unequivocally in favour of both techniques. The procedure of blind liver puncture is suitable for the diagnosis and follow-up of diffuse diseases of the liver (fatty liver, acute hepatitis, with restriction, chronic persistent and chronic aggressive hepatitis, pre-alcoholic liver cirrhois damage). Laparoscopy is employed primarily in cases with equivocal liver palpation findings, for the initial diagnosis of chronic inflammatory, focal and tumorous diseases of the liver. For both techniques, there needs to be a careful weighing up of indications and contraindications, risks and limitations and they should not be carried out by any and every ward physician.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

M Mörl. 1982-07-01. [Blind liver puncture or laparoscopy?].. https://pubmed.ncbi.nlm.nih.gov/6213541/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Targeting difficult accessible breast lesions: MRI-guided needle localization using a freehand technique in a 3.0 T closed bore magnet.

PURPOSE: To report the accuracy of magnetic resonance imaging (MRI)-guided needle localization for diagnosis of MRI detected suspicious breast lesions located in difficult accessible regions of the breast, using the freehand method in a 3.0 T closed bore magnet. MATERIALS AND METHODS: In five patients with five MRI-only breast lesions underwent MRI-guided needle localization for histopathologic evaluation of the lesions. All interventional procedures were performed in a 3.0 T MRI system with the patient in prone position and by using a dedicated phased array breast coil. MRI-guided needle localizations were performed by using a freehand technique. In our study, the high-resolution scan allowed preprocedural localization of all lesions without use of contrast enhancement. In all cases contrast-enhanced MRI was performed after insertion of the wire to confirm the tip of the wire in direct contact with the enhancing lesion. RESULTS: Needle localizations were performed in five patients. Histopathologic evaluation of tissue after surgery excision biopsy revealed one lymph node, three invasive ductal carcinoma and one ductal carcinoma in situ. Lesion size varied from 6 to 30 mm. Mean duration time was 25 min. No complications occurred during the intervention method. In the patient with the benign lesion control MRI of the breast after 6 months confirmed lesion removal. CONCLUSIONS: MRI-guided needle localization by using a freehand technique in a 3.0 T closed bore magnet is a safe and accurate method for diagnosis of difficult accessible breast lesions only visible on MRI.

Biopsy, Needle↗