Biopsia guiada por laparoscopia de tumoraciones intraabdominales no digestivas.

esumen
Introducción. La laparoscopia es un recurso diagnóstico
de múltiples enfermedades
que requieren
biopsia
de masas intraabdominales no abordables
mediante
punciones guiadas por imagen.
Evita la
morbimortalidad asociada a la laparotomía favoreciendo
el tratamiento precoz de los procesos
malignos.
Pacientes y método. Análisis descriptivo, retrospectivo
de los resultados de una serie de pacientes
de
nuestro
hospital,
que presentan nódulo intraabdominal
de etiología desconocida biopsiados mediante
cirugía
laparoscópica
desde enero
de 2001 hasta
mayo
de 2006.
Ninguno de los pacientes es candidato
a punción percutánea
guiada por imagen.
Resultados. Realizamos 23 biopsias: 8 retroperitoneales
(34,7%),
5 mesentéricas (21,7%), 5 en hilio hepático,
4 pelvianas y 1 en cadena de vena ilíaca y
asociamos 5 biopsias complementarias. Se obtuvo
un 100% de material suficiente para diagnóstico anatomopatológico.
La duración media de la intervención
fue de 71 min.
El 61% tuvo un ingreso menor de
24 h.

ntroduction. Laparoscopic surgery offers an alternative
diagnostic
technique
in multiple
diseases requiring
biopsy of non-digestive
intra-abdominal masses
in which
image-guided
biopsy cannot be
performed.
Laparoscopic biopsy aims to reduce the
surgical aggression and complications associated
with laparotomy and favors the early treatment of malignancies.
Patients and method. We performed a retrospective
descriptive study of our results in a series of patients
in our hospital with intra-abdominal masses of unknown
etiology who underwent laparoscopic
surgery
between
January
2001 and April 2006.
None of the
patients were candidates for image-guided percutaneous
biopsy.
Results. We carried out 23 biopsies: 8 retroperitoneal
(34.7%),
5 mesenteric (21.7%), 5 hepatic, 4 pelvic,
and 1 in the iliac chain, as well as 5 complementary
biopsies. In all patients, sufficient material for histologic
diagnosis
was obtained.
The mean operating time
was 71 minutes. Length of hospital stay was less
than 24 hours in 61% of the patients. The median
length of hospital stay was 1.5 days.
Conclusions. The laparoscopic approach allows
complete visualization and examination of the entire
peritoneal cavity. Laparoscopic biopsy is a safe and
effective procedure with excellent patient recovery
and allows early definitive treatment.