Reimund K P, Junginger T
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz.
Med Klin (Munich). 1990 Mar 15;85(3):121-4.
Value of preoperative diagnostic procedures in the surgical treatment of liver tumors. Results of a consecutive examination series from surgical view. Between September 1985 and December 1988 93 patients with tumors of the liver were operated at the University Hospital of Mainz. Most of them had metastases of colorectal cancer. The accuracy of preoperative diagnostic proceedings was very high using abdominal ultrasonography and computed tomography. The sensitivity of both methods for detecting a tumor amounts 88 and 95%. In spite of this high accuracy the intraoperative findings were different in 29% of the treated patients. An unfavourable intraoperative situation did not exclude a radical resection of the tumor. Therefore we think that the indication to operation is correct if there is any doubt about the expansion of the tumor.
术前诊断程序在肝脏肿瘤外科治疗中的价值。从外科角度看连续检查系列的结果。1985年9月至1988年12月期间，美因茨大学医院对93例肝脏肿瘤患者进行了手术。其中大多数患有结直肠癌转移。使用腹部超声和计算机断层扫描，术前诊断程序的准确性非常高。两种方法检测肿瘤的敏感性分别为88%和95%。尽管准确性很高，但在29%的接受治疗的患者中，术中发现有所不同。不利的术中情况并不排除肿瘤的根治性切除。因此，我们认为，如果对肿瘤的扩展存在任何疑问，手术指征就是正确的。
