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Ajay K. Kriplani, MS; Lalit K. Sharma, MS, FICS

Arch Surg. 1986;121(7):818-820.

Abstract
• Results of peritoneoscopy performed under local anesthesia were reviewed in 43 consecutive patients with predominantly extrahepatic disease. Patients with previous laparotomy scars and poor general condition were not refused the benefits of this procedure. Diagnostic accuracy was 84%. Histologic diagnosis was achieved in 42% of patients and cholecystocholangiography under peritoneoscopic guidance in two jaundiced patients. Laparotomy was avoided in 65% of patients, and peritoneoscopy correctly assessed local extent of gastric neoplasia in 76% (16/21). Complications were insignificant. Peritoneoscopy under local anesthesia is a quick, accurate, economic, and safe method for evaluating extrahepatic abdominal disease.

(Arch Surg 1986;121:818-820)

Author Affiliations
From the Department of Surgery, All India Institute of Medical Sciences, New Delhi.

Footnotes
Accepted for publication Oct 17, 1985.

Reprint requests to Department of Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India (Dr Sharma).

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