Abstract
The relationship between the prognosis and laparoscopic findings of the liver was studied in 78 patients with liver cirrhosis. As the sphericality of nodules increased, the prognosis of liver cirrhosis became poor. Hemisphere-shaped nodules were observed on the surface of the cirrhotic liver in the state of hepatic insufficiency, and in such cases, many cases died of hepatic insufficiency soon after the diagnosis was established. In mount-like shaped nodule type of liver cirrhosis, deaths were attributed to hepatic insufficiency and hepatocellular carcinoma.
In patients with highly active hepatitis, there was some chance that death would result from hepatic insufficiency. Flat nodule type of liver cirrhosis showed a hepatic surface peculiar to type B liver cirrhosis, in which HBe antigen was negative and hepatitis activity was subsided. Flat nodule type of liver cirrhosis showed the best prognosis and a good hepatic reserve capacity at the time of diagnosis. The prognosis of liver cirrhosis and its complications can be predicted by observing the hepatic surface. Laparoscopic examination is believed to be essential for the diagnosis and treatment of liver cirrhosis.
