title: [Laparoscopy and puncture biopsy in diagnosis of focal lesions of the liver].
abstract: Based on the results of examination of 208 patients with different tumors of the liver it is concluded that in the majority of cases it is possible to avoid puncture biopsy of the liver and laparoscopy for diagnosis of focal lesion of the liver (FLL) before surgery because these invasive procedures don't improve efficacy of diagnosis. On the contrary it may lead to complications including implantation metastases (3.33%). Correct appliance of modern diagnostic algorithms permits to increase efficacy of FLL diagnosis to 82.27% without invasive procedures.
authors.forename: N N
authors.initials: NN
authors.lastname: Malinovskiĭ
authors.forename: A N
authors.initials: AN
authors.lastname: Severtsev
authors.forename: D B
authors.initials: DB
authors.lastname: Chudaev
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle / Q000009:adverse effects; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008099:Liver / Q000473:pathology*; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009366:Neoplasm Seeding; D011300:Preoperative Care / Q000379:methods