“Laparoscopic Liver Biopsy Technique” – Control Group (
CAVITY, DECUBITUS, PNEUMOPERITONEUM
The surgical technique consists of (Fig. Patient lying in the horizontal dorsal decubitus position under general anesthesia;Asepsis, antisepsis and apposition of surgical drapes;Supra-umbilical arcuate incision; dieresis by planes; opening of the aponeurosis and passage of the 10-mm trocar, followed by the creation of the pneumoperitoneum using the open technique;30° optical trocar apposition and cavity inventory;Introduction of a 5-mm trocar in the epigastrium, below the xiphoid appendix and introduction of a 5-mm trocar, 1.0 cm below the right costal margin in the midclavicular line (both will be used for the surgeon’s movement);The biopsy was performed with laparoscopic scissors (Fig. Review of hemostasis and count of the material used during surgery.Trocar insertion sites in the laparoscopic technique. Sub-figure labelling: On the left the circle represents the 10 mm trocar of the optics and the diamonds represent the 05 mm trocars; on the right, the equivalent location in the surgical actBiopsy of the liver parenchyma with scissors using the laparoscopic technique