Diagnostic Accuracy of Laparoscopic Liver Biopsy in Chronic Liver Diseases, Comparison of Laparoscopic and US‐Guided Liver Biopsy Results

Toshio ITO; Minora UKIDA; Kazuhide YAMAMOTO; Haruhiko KOBASHI; Youichi MORIMOTO; Masayuki MIKAMI; Masaki OMOTO; Sousuke NAKANISHI; Kanji SHINMEN; Takuya NAGANO; Seiji MATSUMOTO; Masaki NAKAMURA; Ryoichi OKAMOTO; Shin‐ichi ‐i FUJIOKA; Nobuhiko OMORI; Kozo UJIKE; Hidenori SHIRAHA; Takao TSUJI

doi:10.1111/j.1443-1661.1995.tb00172.x

Diagnostic Accuracy of Laparoscopic Liver Biopsy in Chronic Liver Diseases, Comparison of Laparoscopic and US‐Guided Liver Biopsy Results

Toshio ITO, Minora UKIDA, Kazuhide YAMAMOTO, Haruhiko KOBASHI, Youichi MORIMOTO, Masayuki MIKAMI, Masaki OMOTO, Sousuke NAKANISHI, Kanji SHINMEN, Takuya NAGANO, Seiji MATSUMOTO, Masaki NAKAMURA, Ryoichi OKAMOTO, Shin‐ichi ‐i FUJIOKA, Nobuhiko OMORI, Kozo UJIKE, Hidenori SHIRAHA, Takao TSUJI

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

Abstract

Liver biopsies were carried out using three different needles, a Vim‐Silverman needle 2.5 mm in outer caliber, an 18‐Gauge (18G) Majima needle, and a 17‐Gauge (17G) Majima needle. The biopsies were obtained from nearby locations on the liver surface under laparoscopic observation, to ascertain differences in histological diagnosis according to the size of the biopsy specimen. The biopsy specimens obtained with the Vim‐Silverman needle were wider than those obtained with the other two needles. The agreement in histological diagnoses of the liver, obtained with the Vim‐Silverman needle versus the 18G Majima needle, was 26.0%, while that between the Vim‐Silverman needle and the 17G Majima needle was 40.0%. Histological diagnosis tended to be underestimated in small biopsy specimens in advanced chronic liver diseases. A questionnaire survey, conducted in 92 hospitals affiliated with Okayama University Medical School, revealed US‐guided liver biopsy to be the practice of choice in 57 of 92 (62.0%) hospitals, and 18G needles were used in US‐guided liver biopsy in 35 of 78 (45.2%) hospitals.

Original language	English
Pages (from-to)	261-265
Number of pages	5
Journal	Digestive Endoscopy
Volume	7
Issue number	3
DOIs	https://doi.org/10.1111/j.1443-1661.1995.tb00172.x
Publication status	Published - Jul 1995
Externally published	Yes

Keywords

Majima needle
Vim‐Silverman needle
chronic hepatitis
laparoscopy
liver biopsy
liver cirrhosis

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Gastroenterology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/j.1443-1661.1995.tb00172.x

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ITO, T., UKIDA, M., YAMAMOTO, K., KOBASHI, H., MORIMOTO, Y., MIKAMI, M., OMOTO, M., NAKANISHI, S., SHINMEN, K., NAGANO, T., MATSUMOTO, S., NAKAMURA, M., OKAMOTO, R., FUJIOKA, S. ., OMORI, N., UJIKE, K., SHIRAHA, H., & TSUJI, T. (1995). Diagnostic Accuracy of Laparoscopic Liver Biopsy in Chronic Liver Diseases, Comparison of Laparoscopic and US‐Guided Liver Biopsy Results. Digestive Endoscopy, 7(3), 261-265. https://doi.org/10.1111/j.1443-1661.1995.tb00172.x

ITO, T, UKIDA, M, YAMAMOTO, K, KOBASHI, H, MORIMOTO, Y, MIKAMI, M, OMOTO, M, NAKANISHI, S, SHINMEN, K, NAGANO, T, MATSUMOTO, S, NAKAMURA, M, OKAMOTO, R, FUJIOKA, S, OMORI, N, UJIKE, K, SHIRAHA, H & TSUJI, T 1995, 'Diagnostic Accuracy of Laparoscopic Liver Biopsy in Chronic Liver Diseases, Comparison of Laparoscopic and US‐Guided Liver Biopsy Results', Digestive Endoscopy, vol. 7, no. 3, pp. 261-265. https://doi.org/10.1111/j.1443-1661.1995.tb00172.x

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abstract = "Liver biopsies were carried out using three different needles, a Vim‐Silverman needle 2.5 mm in outer caliber, an 18‐Gauge (18G) Majima needle, and a 17‐Gauge (17G) Majima needle. The biopsies were obtained from nearby locations on the liver surface under laparoscopic observation, to ascertain differences in histological diagnosis according to the size of the biopsy specimen. The biopsy specimens obtained with the Vim‐Silverman needle were wider than those obtained with the other two needles. The agreement in histological diagnoses of the liver, obtained with the Vim‐Silverman needle versus the 18G Majima needle, was 26.0%, while that between the Vim‐Silverman needle and the 17G Majima needle was 40.0%. Histological diagnosis tended to be underestimated in small biopsy specimens in advanced chronic liver diseases. A questionnaire survey, conducted in 92 hospitals affiliated with Okayama University Medical School, revealed US‐guided liver biopsy to be the practice of choice in 57 of 92 (62.0%) hospitals, and 18G needles were used in US‐guided liver biopsy in 35 of 78 (45.2%) hospitals.",

keywords = "Majima needle, Vim‐Silverman needle, chronic hepatitis, laparoscopy, liver biopsy, liver cirrhosis",

author = "Toshio ITO and Minora UKIDA and Kazuhide YAMAMOTO and Haruhiko KOBASHI and Youichi MORIMOTO and Masayuki MIKAMI and Masaki OMOTO and Sousuke NAKANISHI and Kanji SHINMEN and Takuya NAGANO and Seiji MATSUMOTO and Masaki NAKAMURA and Ryoichi OKAMOTO and FUJIOKA, {Shin‐ichi ‐i} and Nobuhiko OMORI and Kozo UJIKE and Hidenori SHIRAHA and Takao TSUJI",

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doi = "10.1111/j.1443-1661.1995.tb00172.x",

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AU - ITO, Toshio

AU - UKIDA, Minora

AU - YAMAMOTO, Kazuhide

AU - KOBASHI, Haruhiko

AU - MORIMOTO, Youichi

AU - MIKAMI, Masayuki

AU - OMOTO, Masaki

AU - NAKANISHI, Sousuke

AU - SHINMEN, Kanji

AU - NAGANO, Takuya

AU - MATSUMOTO, Seiji

AU - NAKAMURA, Masaki

AU - OKAMOTO, Ryoichi

AU - FUJIOKA, Shin‐ichi ‐i

AU - OMORI, Nobuhiko

AU - UJIKE, Kozo

AU - SHIRAHA, Hidenori

AU - TSUJI, Takao

PY - 1995/7

Y1 - 1995/7

N2 - Liver biopsies were carried out using three different needles, a Vim‐Silverman needle 2.5 mm in outer caliber, an 18‐Gauge (18G) Majima needle, and a 17‐Gauge (17G) Majima needle. The biopsies were obtained from nearby locations on the liver surface under laparoscopic observation, to ascertain differences in histological diagnosis according to the size of the biopsy specimen. The biopsy specimens obtained with the Vim‐Silverman needle were wider than those obtained with the other two needles. The agreement in histological diagnoses of the liver, obtained with the Vim‐Silverman needle versus the 18G Majima needle, was 26.0%, while that between the Vim‐Silverman needle and the 17G Majima needle was 40.0%. Histological diagnosis tended to be underestimated in small biopsy specimens in advanced chronic liver diseases. A questionnaire survey, conducted in 92 hospitals affiliated with Okayama University Medical School, revealed US‐guided liver biopsy to be the practice of choice in 57 of 92 (62.0%) hospitals, and 18G needles were used in US‐guided liver biopsy in 35 of 78 (45.2%) hospitals.

AB - Liver biopsies were carried out using three different needles, a Vim‐Silverman needle 2.5 mm in outer caliber, an 18‐Gauge (18G) Majima needle, and a 17‐Gauge (17G) Majima needle. The biopsies were obtained from nearby locations on the liver surface under laparoscopic observation, to ascertain differences in histological diagnosis according to the size of the biopsy specimen. The biopsy specimens obtained with the Vim‐Silverman needle were wider than those obtained with the other two needles. The agreement in histological diagnoses of the liver, obtained with the Vim‐Silverman needle versus the 18G Majima needle, was 26.0%, while that between the Vim‐Silverman needle and the 17G Majima needle was 40.0%. Histological diagnosis tended to be underestimated in small biopsy specimens in advanced chronic liver diseases. A questionnaire survey, conducted in 92 hospitals affiliated with Okayama University Medical School, revealed US‐guided liver biopsy to be the practice of choice in 57 of 92 (62.0%) hospitals, and 18G needles were used in US‐guided liver biopsy in 35 of 78 (45.2%) hospitals.

KW - Majima needle

KW - Vim‐Silverman needle

KW - chronic hepatitis

KW - laparoscopy

KW - liver biopsy

KW - liver cirrhosis

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ER -

Diagnostic Accuracy of Laparoscopic Liver Biopsy in Chronic Liver Diseases, Comparison of Laparoscopic and US‐Guided Liver Biopsy Results

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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