Spinelli P, Luini A, Pizzetti P, de Palo G M
Tumori. 1976 Sep-Oct;62(5):493-501. doi: 10.1177/030089167606200504.
The merits of laparoscopy with inspection of diaphragmatic leaves were studied in 95 patients with ovarian carcinoma. Laparoscopy was positive in 19 out of 27 new cases, 11 out of 47 patients previously treated and in apparent complete remission, and 12 out of 21 patients previously treated and with the disease. Thirty-one out of 95 patients were shown to have diaphragmatic metastases alone and/or associated with other localizations of disease. In 5 out of 27 new cases the stage was modified after laparoscopy. The histologic-endoscopic correlation was correct in 28/36 positive cases (78%) and in 31/32 negative cases (97%). In conclusionall patients with ovarian carcinoma should be subjected to laparoscopy as staging and restaging before undergoing laparotomy.
对95例卵巢癌患者进行了腹腔镜检查膈肌叶的优点研究。27例新病例中有19例腹腔镜检查呈阳性，47例先前接受治疗且明显完全缓解的患者中有11例呈阳性，21例先前接受治疗且患有该疾病的患者中有12例呈阳性。95例患者中有31例被证明仅存在膈肌转移和/或伴有其他疾病定位。27例新病例中有5例在腹腔镜检查后改变了分期。在36例阳性病例中有28例（78%）以及32例阴性病例中有31例（97%）组织学-内镜相关性正确。总之，所有卵巢癌患者在进行剖腹手术前均应接受腹腔镜检查以进行分期和再分期。
