Diagnostic laparoscopy is safe and effective in the diagnosis of liver diseases. In liver transplant patients, laparoscopy has a valuable role both in the early detection and staging of hepatic lesions. Although imaging studies have a significant role in the diagnosis of HCC, laparoscopy has the advantage of both direct visualization and sampling of liver lesions. It is well known that patient selection is essential in the transplantation of those with HCC. Laparoscopy is not only helpful in the early detection and staging of primary hepatic malignancy but also in the treatment of HCC using microwave therapy. We emphasize the importance of operator expertise in the detection of both small HCC and metastatic liver lesions. In addition, laparoscopic evaluation of the liver surface for evidence of chronic disease, like nodularities and varices, is vital for the appropriate United Network for Organ Sharing (UNOS) listing (status 1 versus status 2A) and subsequently the management of patients with FHF. With the increase of liver transplantation around the world, gastroenterology and hepatology programs should re-evaluate the role of laparoscopy in the diagnosis of liver diseases.
|Original language||English (US)|
|Number of pages||14|
|Journal||Gastrointestinal Endoscopy Clinics of North America|
|State||Published - Jan 1 2001|
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