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Updated: Aug 6, 2026
Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
Incidental liver abnormalities at laparoscopy for benign gynecologic conditions
1Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada.
Study Objective:
To evaluate liver abnormalities among women undergoing laparoscopy for benign gynecologic conditions.
Design:
Prospective study (Canadian Task Force classification II-2).
Setting:
Tertiary care academic centers.
Patients:
Women undergoing laparoscopy for benign gynecologic indications.
Intervention:
The upper abdomen was examined by directing the laparoscope cranially.
Measurements And Main Results:
Incidental liver abnormalities were found in 4.7% of 823 patients. The most common was perihepatic adhesions (Fitz-Hugh-Curtis syndrome), located mainly on the right lobe (66.7%) or on both lobes. Pelvic inflammatory disease was present in one-half of women with perihepatic adhesions. Other abnormalities were consistent with hepatic cirrhosis, adenoma, and hemangioma.
Conclusion:
Our results suggest the importance of exploring the upper abdomen during laparoscopic surgery.
