Diagnostic laparoscopy allows direct inspection of the abdomen and peritoneum through small incisions. It is used for diagnosis, for precise staging of peritoneal disease (PCI) and for biopsies — avoiding larger, unnecessary operations.
What is it?
It is a minimally invasive operation in which, via a camera, the inside of the abdomen is inspected. It allows biopsies and precise assessment of a disease's extent, guiding the treatment strategy.
When is it needed?
It is indicated for staging intra-abdominal/peritoneal malignancies before major surgery, to investigate unclear findings or an acute abdomen, and to assess suitability for CRS/HIPEC or PIPAC.
Preparation
A pre-operative work-up and imaging (CT/MRI) precede it. Fasting and medication adjustment are requested; planning is individualised to the purpose.
How it's done
Under general anaesthesia, through small incisions, the abdomen is insufflated and systematically inspected. Biopsies are taken and the disease extent is assessed; the findings determine the next step.
Inspection & biopsy
Direct inspection of the abdomen and taking biopsies for diagnosis.
PCI assessment
Precise assessment of peritoneal disease extent before CRS/HIPEC or PIPAC.
Acute abdomen
Investigation of an unclear acute abdomen, with immediate treatment where needed.
Recovery
Because of its minimally invasive nature, the stay is short and return is rapid. The timeline depends on the findings and any combination with another procedure.
Risks & outcomes
A safe, minimally invasive operation with a low complication rate. Its value is that it avoids larger, unnecessary operations and precisely guides strategy.
Frequently asked questions
Why laparoscopy instead of imaging?
CT/MRI does not always capture small peritoneal disease. Laparoscopy allows direct inspection and biopsy, improving staging accuracy.
What is PCI?
It is an index that quantifies the extent of peritoneal disease and helps the decision for CRS/HIPEC or PIPAC.
Will treatment happen in the same operation?
It depends on the findings and the initial plan. In some cases diagnostic laparoscopy is combined with immediate treatment.
How short is recovery?
Because of the small incisions, the stay is short and return is rapid, depending on the findings.