Laparoscopic liver biopsy performed safely in a child with hepatic dysfunction: report of a case

We performed laparoscopic liver biopsy in a 10-year-old girl with acute myelocytic leukemia and coagulopathy. Each biopsy was taken under laparoscopic ultrasound (LUS) guidance, and hemostasis was achieved with an argon beam coagulator (ABC). These instruments were introduced through one 10/12-mm po...

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Bibliographic Details
Published inSurgery today (Tokyo, Japan) Vol. 33; no. 9; pp. 712 - 713
Main Authors Kimura, Takuya, Nakajima, Kiyokazu, Wasa, Masafumi, Hasegawa, Toshimichi, Soh, Hideki, Mushiake, Sohtaro, Okada, Akira
Format Journal Article
LanguageEnglish
Published Japan 01.01.2003
Subjects
Biopsy - methods
Bone Marrow Transplantation
Child
Female
Graft vs Host Disease - diagnosis
Hemostasis
Humans
Laparoscopy - adverse effects
Laparoscopy - methods
Laser Coagulation
Leukemia, Myeloid, Acute - therapy
Liver Diseases - pathology
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Summary:We performed laparoscopic liver biopsy in a 10-year-old girl with acute myelocytic leukemia and coagulopathy. Each biopsy was taken under laparoscopic ultrasound (LUS) guidance, and hemostasis was achieved with an argon beam coagulator (ABC). These instruments were introduced through one 10/12-mm port, which also allowed the insertion of surgical gauze for direct compression. By using LUS, ABC, and one full-sized working port, laparoscopic liver biopsy becomes a viable and safer alternative, even for children with coagulopathy.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-002-2554-3