Evaluation of diagnostic laparoscopy results in Turkish patients with unexplained ascites

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dc.contributor.authorCaliskan, Ali R.
dc.contributor.authorErdogan, Mehmet A.
dc.contributor.authorBaskiran, Adil
dc.contributor.authorOcal, Ibrahim H.
dc.contributor.authorKacmaz, Huseyin
dc.date.accessioned2026-04-04T13:30:51Z
dc.date.available2026-04-04T13:30:51Z
dc.date.issued2025
dc.departmentİnönü Üniversitesi
dc.description.abstractBACKGROUND Diagnostic laparoscopy is a minimally invasive surgical method to diagnose intra-abdominal diseases. AIM To evaluate patients with unexplained ascites who could not be definitively diagnosed via advanced radiological and endoscopic methods and serological, cytological, and microbiological examinations and, therefore, underwent diagnostic laparoscopy. METHODS This retrospective analysis evaluated 82 patients who underwent diagnostic laparoscopy due to unexplained ascites. Patients' medical records were obtained from the hospital database. Their age, sex, complaints at admission, laboratory results, radiological imaging results, diagnostic laparoscopy reports, and pathology reports were analyzed. RESULTS The serum-ascites albumin gradient was < 1.1 in 96.3% of the patients (n = 79). Among patients, 22 (26.8%) had benign diagnoses and 60 (73.2%) had malignant diagnoses. In addition, 55 (67.1%) were deceased, and the median follow-up time from diagnosis to death was four months. The overall follow-up time ranged from 1 to 142 months, with a median of 14 months. Patients' diagnoses were significantly associated with their survival (P < 0.05, chi 2 test). The mortality rate was 86.7% among patients with malignant diagnoses and 13.6% among patients with benign diagnoses. CONCLUSION Diagnostic laparoscopy is minimally invasive, has a low complication rate, and requires a short hospital stay. It can be safely performed to diagnose and treat ascites that remain unexplained after advanced radiological and endoscopic examinations.
dc.identifier.doi10.4240/wjgs.v17.i5.104803
dc.identifier.issn1948-9366
dc.identifier.issue5
dc.identifier.orcid0000-0001-6788-3459
dc.identifier.pmid40502518
dc.identifier.urihttps://doi.org/10.4240/wjgs.v17.i5.104803
dc.identifier.urihttps://hdl.handle.net/11616/108423
dc.identifier.volume17
dc.identifier.wosWOS:001498623400026
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBaishideng Publishing Group Inc
dc.relation.ispartofWorld Journal of Gastrointestinal Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250329
dc.subjectDiagnostic laparoscopy
dc.subjectAscites
dc.subjectPeritoneal thickening
dc.subjectPeritoneal tuberculosis
dc.subjectSurvival
dc.titleEvaluation of diagnostic laparoscopy results in Turkish patients with unexplained ascites
dc.typeArticle

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