BACKGROUND: Diagnostic laparoscopy plays a significant role in the evaluation of acute and chronic @entity490 in the era of therapeutic laparoscopic surgery. METHODS: We referred to our personal series of laparoscopy for both acute and chronic @entity490 . This is a retrospective review of data accumulated prospectively between 1979 and the present. RESULTS: In our series, 387 consecutive @entity1 underwent laparoscopy because of @entity490 . In a group of 121 @entity1 with acute @entity490 , a definitive diagnosis was made in 119 cases (98%). Two @entity1 needed laparotomy to confirm the diagnosis; both had a disease process that did not require laparotomy to treat. A definitive therapeutic laparoscopic procedure was performed in 53 cases 944%). In 45 @entity1 (38%), a diagnosis was made that did not require therapeutic laparoscopy or laparotomy to treat. In the remaining 21 @entity1 (17.5%), exploratory laparotomy was needed to treat the condition. In a chronic @entity490 group of 265 @entity1 , the etiology was established laparoscopically in 201 cases (76%). A definitive therapeutic laparoscopic procedure was performed in 128 @entity1 (48%). There was a normal laparoscopic examination in 64 @entity1 (24%). There was one false negative laparoscopy that required laparotomy to treat 1 month later. CONCLUSIONS: Laparoscopy is an accurate modality for the diagnosis of both acute and chronic @entity490 . These data support the use of laparoscopy as the primary invasive intervention in @entity1 with acute and chronic @entity490 .

The role of laparoscopy in the diagnosis and treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain syndromes', 'abdominal pain']
@entity490 :: (MESH:D015746,Disease) :: ['abdominal pain syndromes']
