scholarly journals Technical Note: Facilitating Laparoscopic Liver Biopsy by the Use of a Single-Handed Disposable Core Biopsy Needle

HPB Surgery ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
M. I. Trochsler ◽  
Q. Ralph ◽  
F. Bridgewater ◽  
H. Kanhere ◽  
Guy J. Maddern

Despite the use of advanced radiological investigations, some liver lesions cannot be definitely diagnosed without a biopsy and histological examination. Laparoscopic Tru-Cut biopsy of the liver lesion is the preferred approach to achieve a good sample for histology. The mechanism of a Tru-Cut biopsy needle needs the use of both hands to load and fire the needle. This restricts the ability of the surgeon to direct the needle into the lesion utilising the laparoscopic ultrasound probe. We report a technique of laparoscopic liver biopsy using a disposable core biopsy instrument (BARD (R) disposable core biopsy needle) that can be used single-handedly. The needle can be positioned with laparoscopic graspers in order to reach posterior and superior lesions. This technique can easily be used in conjunction with laparoscopic ultrasound.

1998 ◽  
Vol 38 (2) ◽  
pp. 241
Author(s):  
Gyoo Sik Jung ◽  
Byung Kwon Ahn ◽  
Sang Ouk Lee ◽  
Hee Kyong Chang ◽  
Kyung Seung Oh ◽  
...  

2018 ◽  
Vol 87 (6) ◽  
pp. AB457-AB458 ◽  
Author(s):  
Rafael A. Ching Companioni ◽  
Amitpal S. Johal ◽  
Bradley Confer ◽  
Harshit S. Khara ◽  
David L. Diehl

2011 ◽  
Vol 80 (3) ◽  
pp. e269-e272 ◽  
Author(s):  
Roberto Miraglia ◽  
Luigi Maruzzelli ◽  
Marta Ida Minervini ◽  
Riccardo Volpes ◽  
Giovanni Vizzini ◽  
...  

2002 ◽  
Vol 27 (6) ◽  
pp. 711-715 ◽  
Author(s):  
J. F. Bruzzi ◽  
M. J. O'Connell ◽  
H. Thakore ◽  
C. O'Keane ◽  
J. Crowe ◽  
...  

Endoscopy ◽  
2019 ◽  
Vol 51 (11) ◽  
pp. 1059-1065 ◽  
Author(s):  
Rafael A. Ching-Companioni ◽  
David L. Diehl ◽  
Amitpal S. Johal ◽  
Bradley D. Confer ◽  
Harshit S. Khara

Abstract Background Endoscopic ultrasound-guided liver biopsy (EUS-LB) is a safe and effective method for accomplishing parenchymal liver biopsy. The aim of this study was to compare a 19 G aspiration needle (FNA) with a 19 G Franseen-tip core biopsy needle (FNB) for EUS-LB. Methods This was a prospective, parallel group, randomized trial comparing the tissue yields and adequacy of a 19 G FNA needle vs. a 19 G FNB needle for EUS-LB. The primary outcome was length of the longest piece of liver core specimen. Secondary outcomes were aggregate specimen length, number of complete portal triads (CPTs), and adverse events. One transgastric pass and one transduodenal pass were performed with the same needle in each patient. Specimen lengths were measured before and after histological processing. Results 40 patients referred for EUS-LB were randomized to either the FNA group (n = 20) or the FNB group (n = 20). Both groups had similar patient characteristics. FNB biopsies yielded longer mean (standard deviation) specimen lengths (pre-processing mean 2.09 cm [0.41] vs. mean 1.47 cm [0.46], and post-processing mean 1.78 cm [0.66] vs. mean 1.05 cm [0.42]; both P < 0.001), a longer aggregate specimen length (pre-processing mean 15.78 cm [5.19] vs. 10.89 cm [4.38]; P = 0.003), and more CPTs (mean 42.6 25 vs 18.1 [9.3]; P < 0.001) compared with the FNA needle. There were no severe adverse events or difference in adverse event rate between the two needles. Post-biopsy pain was noted in 37.5 %. Conclusion EUS-LB using the FNB needle delivered longer liver biopsy specimens with more CPTs than the regular (non-core) needle.


2018 ◽  
Vol 11 (2) ◽  
pp. 388-391
Author(s):  
Mohamad A. Mouchli ◽  
Sarah E. Kerr ◽  
Lewis Roberts

Calcified liver lesions are caused by a wide variety of factors. The most common lesions are inflammatory liver lesions followed by benign and malignant neoplasms. Hemangioma, one of the most common benign hepatic neoplasm in adults, often contains calcifications, in up to 20% of cases secondary to fibrosis and thrombosis of blood vessels. These calcifications are typically large, coarse, and located in the center of the lesions. Liver metastases, the most common malignant lesions found in the noncirrhotic liver, may contain areas of calcification. Radiologists should be aware of morphologic imaging features of calcified liver lesions to help differentiate benign from malignant lesions. Liver biopsy should be offered when the diagnosis is doubtful.


2015 ◽  
Vol 33 (5) ◽  
pp. 295-297 ◽  
Author(s):  
Kenkichi Michimoto ◽  
Kanichiro Shimizu ◽  
Yoshihiko Kameoka ◽  
Naoki Kurata ◽  
Tadashi Tokashiki ◽  
...  

2000 ◽  
Vol 25 (5) ◽  
pp. 483-485 ◽  
Author(s):  
S. W. Choo ◽  
Y. S. Do ◽  
K. B. Park ◽  
S. H. Kim ◽  
Y. H. Han ◽  
...  

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