Coleman M, Lightdale C J, Vinciguerra V P, Degnan T J, Goldstein M, Horwitz T, Winawer S J, Silver R T
JAMA. 1976 Dec 6;236(23):2634-6.
Peritoneoscopy was used to evaluate the liver in 35 previously untreated patients with Hodgkin disease. Four were found to have hepatic involvement. Of the 31 patients with normal peritoneoscopies, only one had liver disease demonstrated subsequently at confirmatory exploratory laparotomy. The diagnostic accuracy of peritoneoscopy was 93% for patients at high risk for hepatic disease and 97% for all patients studied. Morbidity from the procedure was minimal. There was no mortality. Peritoneoscopy is a highly accurate staging procedure that should be considered as an antecedent or as an alternative to laparotomy in patients with Hodgkin disease. Its accuracy and minimal morbidity should be considered in the critical selection process of determining which individuals should undergo laparotomy.
对35例未经治疗的霍奇金病患者进行了腹腔镜检查以评估肝脏情况。发现4例有肝脏受累。在31例腹腔镜检查正常的患者中，只有1例在随后的证实性剖腹探查术中显示有肝脏疾病。对于有肝脏疾病高风险的患者，腹腔镜检查的诊断准确率为93%，对所有研究患者而言为97%。该检查的并发症发生率极低。无死亡病例。腹腔镜检查是一种高度准确的分期检查方法，对于霍奇金病患者，应将其视为剖腹探查术的前置检查或替代方法。在决定哪些患者应接受剖腹探查术的关键选择过程中，应考虑其准确性和极低的并发症发生率。
