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 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.
Kimura
Takuya
T
Department of Pediatric Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan.
Nakajima
Kiyokazu
K
Wasa
Masafumi
M
Hasegawa
Toshimichi
T
Soh
Hideki
H
Mushiake
Sohtaro
S
Okada
Akira
A
D001706:Biopsy / Q000379:methods; D016026:Bone Marrow Transplantation; D002648:Child; D005260:Female; D006086:Graft vs Host Disease / Q000175:diagnosis; D006487:Hemostasis; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D017075:Laser Coagulation; D015470:Leukemia, Myeloid, Acute / Q000628:therapy; D008107:Liver Diseases / Q000473:pathology*