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Survival of patients evaluated by FDG-PET before hepatic resection for metastatic colorectal carcinoma: a prospective database study.通过氟代脱氧葡萄糖正电子发射断层扫描（FDG-PET）评估的转移性结直肠癌肝切除术前患者的生存率：一项前瞻性数据库研究
Ann Surg. 2001 Mar;233(3):293-9. doi: 10.1097/00000658-200103000-00001.
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Laparoscopic ultrasound enhances diagnostic laparoscopy in the staging of intra-abdominal neoplasms.腹腔镜超声可提高腹腔镜检查在腹内肿瘤分期中的诊断价值。
Am Surg. 2000 Apr;66(4):407-11.
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A prospective analysis of staging laparoscopy in patients with primary and secondary hepatobiliary malignancies.原发性和继发性肝胆恶性肿瘤患者分期腹腔镜检查的前瞻性分析。
J Gastrointest Surg. 2000 Jan-Feb;4(1):34-43. doi: 10.1016/s1091-255x(00)80030-x.
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Staging laparoscopy and laparoscopic ultrasonography in more than 400 patients with upper gastrointestinal carcinoma.400余例上消化道癌患者的分期腹腔镜检查及腹腔镜超声检查
J Am Coll Surg. 1999 Nov;189(5):459-65. doi: 10.1016/s1072-7515(99)00186-6.
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Surgery. 1999 Oct;126(4):736-41; discussion 741-3.
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Laparoscopy and laparoscopic ultrasonography for staging pancreatic cancer: critical appraisal.腹腔镜检查及腹腔镜超声检查在胰腺癌分期中的应用：批判性评估
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Improved tumor staging by diagnostic laparoscopy.通过诊断性腹腔镜检查改善肿瘤分期。
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Patients with laparoscopically staged unresectable pancreatic adenocarcinoma do not require subsequent surgical biliary or gastric bypass.经腹腔镜分期为不可切除的胰腺腺癌患者无需后续进行外科胆管或胃旁路手术。
J Am Coll Surg. 1999 Jun;188(6):649-55; discussion 655-7. doi: 10.1016/s1072-7515(99)00050-2.
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Experience with staging laparoscopy in pancreatic malignancy.胰腺癌分期腹腔镜检查的经验
Gastrointest Endosc. 1999 Apr;49(4 Pt 1):498-503. doi: 10.1016/s0016-5107(99)70050-7.
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Positive peritoneal cytology predicts unresectability of pancreatic adenocarcinoma.阳性腹膜细胞学检查预示胰腺腺癌无法切除。
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分期腹腔镜检查在胰腺周围和胆道恶性肿瘤亚组中的应用价值。

Utility of staging laparoscopy in subsets of peripancreatic and biliary malignancies.

作者信息

Vollmer Charles M, Drebin Jeffrey A, Middleton William D, Teefey Sharlene A, Linehan David C, Soper Nathaniel J, Eagon Christopher J, Strasberg Steven M

机构信息

Section of Hepatobiliary-Pancreatic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.

出版信息

Ann Surg. 2002 Jan;235(1):1-7. doi: 10.1097/00000658-200201000-00001.

DOI:10.1097/00000658-200201000-00001
PMID:11753036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1422389/
Abstract

OBJECTIVE

To determine the relative benefit of staging laparoscopy in peripancreatic and biliary malignancies.

SUMMARY BACKGROUND DATA

Staging laparoscopy has been used in a variety of peripancreatic and biliary malignancies. The utility of the technique in subsets of these types of cancer has not been systematically compared.

METHODS

One hundred fifty-seven patients underwent laparoscopy after conventional tumor staging; 89 were also staged with laparoscopic ultrasonography. Diagnostic categories were cancer of the pancreatic head and uncinate process, cancer of the body and tail of pancreas, cancer of the extrahepatic bile duct, cancer of the gallbladder, and cancer of the ampulla of Vater/duodenum.

RESULTS

In patients with cancer of the head of the pancreas, metastatic disease or vascular invasion was discovered frequently by laparoscopy (31%), whereas in ampullary/duodenal cancer it was never found. The laparoscopic findings in cancer of the head of the pancreas had an important influence on treatment decisions, whereas in cancer of the ampulla/duodenum, laparoscopy had no effect on clinical decisions. Laparoscopy also substantially influenced the treatment of gallbladder cancer; in other tumor types, results were intermediate. Laparoscopic ultrasonography was valuable in cancer of the head of the pancreas.

CONCLUSIONS

The utility of staging laparoscopy depends on diagnosis. It is recommended for continued use in pancreatic head and gallbladder cancers but not in ampullary malignancies.

摘要

目的

确定分期腹腔镜检查在胰腺周围和胆道恶性肿瘤中的相对益处。

总结背景数据

分期腹腔镜检查已应用于多种胰腺周围和胆道恶性肿瘤。该技术在这些癌症亚型中的效用尚未得到系统比较。

方法

157例患者在进行传统肿瘤分期后接受了腹腔镜检查；其中89例还接受了腹腔镜超声检查。诊断类别包括胰头和钩突癌、胰腺体尾部癌、肝外胆管癌、胆囊癌以及 Vater壶腹/十二指肠癌。

结果

在胰头癌患者中，腹腔镜检查经常发现转移性疾病或血管侵犯（31%），而在壶腹/十二指肠癌中从未发现。胰头癌的腹腔镜检查结果对治疗决策有重要影响，而在壶腹/十二指肠癌中，腹腔镜检查对临床决策没有影响。腹腔镜检查对胆囊癌的治疗也有很大影响；在其他肿瘤类型中，结果介于两者之间。腹腔镜超声检查在胰头癌中很有价值。

结论

分期腹腔镜检查的效用取决于诊断。建议继续用于胰头癌和胆囊癌，但不用于壶腹恶性肿瘤。