Höffken K, Schmidt C G
Dtsch Med Wochenschr. 1976 May 21;101(21):814-8. doi: 10.1055/s-0028-1104176.
Laparoscopy with spleen and multiple liver biopsies was performed in 94 patients with Hodgkin's disease in stages III B and IV B. In four of them involvement of the liver was demonstrated in this way. Exploratory laparotomy was subsequently performed in 35 patients, liver involvement being revealed in only one patient in whom it had not been previously demonstrated by laparoscopy and (or) biopsy. While laparoscopy proved to be of similar value to exploratory laparotomy in assessing liver involvement, it was no substitute for operation. It was valuable in determining the stage of the disease and following its course.
对94例处于ⅢB期和ⅣB期的霍奇金病患者进行了腹腔镜检查及脾脏和多处肝脏活检。其中4例通过这种方式证实有肝脏受累。随后对35例患者进行了剖腹探查术，仅1例患者发现有肝脏受累，而该例之前通过腹腔镜检查和（或）活检未证实有肝脏受累。虽然在评估肝脏受累方面腹腔镜检查与剖腹探查术具有相似价值，但它不能替代手术。它在确定疾病分期及跟踪病程方面很有价值。
