title: Laparoscopic liver biopsy performed safely in a child with hepatic dysfunction: report of a case.
abstract: 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.
authors.affiliation: Department of Pediatric Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan.
authors.forename: Takuya
authors.initials: T
authors.lastname: Kimura
authors.forename: Kiyokazu
authors.initials: K
authors.lastname: Nakajima
authors.forename: Masafumi
authors.initials: M
authors.lastname: Wasa
authors.forename: Toshimichi
authors.initials: T
authors.lastname: Hasegawa
authors.forename: Hideki
authors.initials: H
authors.lastname: Soh
authors.forename: Sohtaro
authors.initials: S
authors.lastname: Mushiake
authors.forename: Akira
authors.initials: A
authors.lastname: Okada
mesh_terms: 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*