[诊断性腹腔镜检查在壶腹周围癌和胰腺癌中的作用。一项基于27例病例的研究]
[The role of diagnostic laparoscopy in periampullary and pancreatic cancers. A study based on 27 cases].
作者信息
Molnár G, Iancu C, Munteanu D, Muntean V, Al Hajjarz N, Bălă O, Vlad L
机构信息
Spitalul Clinic de Urgenţă Prof. Dr. O. Fodor--Clinica Chirurgie III, Cluj Napoca, România.
出版信息
Chirurgia (Bucur). 2010 May-Jun;105(3):383-6.
BACKGROUND
Starting from the premise that abdominal tumours require very accurate assessment and staging, the study "DIASTAL" (laparoscopic diagnosis and staging of abdominal tumours) proposed to establish the effectiveness of laparoscopy in the diagnosis and resectability of these neoplasms. The aim of this study was to evaluate diagnostic laparoscopy for periampullary and pancreatic neoplasms.
METHODS
The clinical study was based on the analysis two different groups including 27 patients in total, in whom we used also diagnostic laparoscopy as a staging method.
RESULTS
The percentage of understaged patients after preoperative examinations was high in both groups range 59.09%-63.63%. Diagnostic laparoscopy reduced the number of unnecessary laparotomies.
CONCLUSIONS
Diagnostic laparoscopy could lead to more accurate assessment of periampullary and pancreatic cancers, not only as a staging method but also as a minimally invasive surgical technique for palliation.
背景
基于腹部肿瘤需要非常准确的评估和分期这一前提，“DIASTAL”研究（腹部肿瘤的腹腔镜诊断和分期）旨在确定腹腔镜检查在这些肿瘤诊断及可切除性评估方面的有效性。本研究的目的是评估诊断性腹腔镜检查用于壶腹周围和胰腺肿瘤的情况。
方法
该临床研究基于对两个不同组别的分析，共27例患者，我们也将诊断性腹腔镜检查用作一种分期方法。
结果
两组患者术前检查后分期不足的比例都很高，范围在59.09% - 63.63%。诊断性腹腔镜检查减少了不必要的剖腹手术数量。
结论
诊断性腹腔镜检查不仅可作为一种分期方法，还可作为一种姑息性微创手术技术，从而能更准确地评估壶腹周围癌和胰腺癌。
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