Diagnostic laparoscopy of the liver and peritoneum using conscious sedation

Laparoscopic study of the liver is now common in many U.S. medical centers. With proper preparation, the procedure can be performed safely in the endoscopy suite using conscious sedation. Multiple sites in the liver can be biopsied in a directed and rapid sequence. Postbiopsy bleeding can be detected early and stopped effectively should it occur. Restrictions after the procedure are similar to those for other outpatient surgical procedures along with the typical post-liver biopsy instructions. A successful laparoscopy requires careful nursing evaluation, monitoring, and assistance. In this article, the authors discuss the practical aspects of diagnostic laparoscopy performed in the endoscopy suite, the nurse's role during and after the procedure, and management of the instruments.