Wang Yong, Wang Jianjun, Hong Qiang
Department of Surgical Oncology, Jinhua Municipal Guangfu Hospital, Jinhua 321000, China. Email:
Department of Surgical Oncology, Jinhua Municipal Guangfu Hospital, Jinhua 321000, China.
Zhonghua Yi Xue Za Zhi. 2014 Mar 18;94(10):769-71.
To compare the accuracy of computer tomography (CT) plus diagnostic laparoscopy in preoperative staging of potentially resectable gastric cancer.
A total of 194 gastric cancer patients underwent combined CT and laparoscopic staging. Then the results were compared with those of pathologic TNM staging.
Comparing with pathologic TNM stage, the T staging accuracy of CT was lower than that of laparoscopy (72.7% vs 89.6%, χ² = 7.844, P = 0.005), the N staging accuracies of CT and laparoscopy were 55.6% and 70.1% (χ² = 4.329, P = 0.037) and the M staging accuracies 90.7% and 97.9% respectively (χ² = 4.722, P = 0.030). The diagnostic laparoscopy uncovered 14 patients with peritoneal metastases.
The value of CT is limited in preoperative staging of gastric cancer.However its accuracy may be enhanced by laparoscopy through detecting more peritoneal metastasis.
比较计算机断层扫描（CT）联合诊断性腹腔镜检查在潜在可切除胃癌术前分期中的准确性。
共194例胃癌患者接受了CT和腹腔镜联合分期检查。然后将结果与病理TNM分期结果进行比较。
与病理TNM分期相比，CT的T分期准确率低于腹腔镜检查（72.7%对89.6%，χ² = 7.844，P = 0.005），CT和腹腔镜检查的N分期准确率分别为55.6%和70.1%（χ² = 4.329，P = 0.037），M分期准确率分别为90.7%和97.9%（χ² = 4.722，P = 0.030）。诊断性腹腔镜检查发现14例有腹膜转移的患者。
CT在胃癌术前分期中的价值有限。然而，通过检测更多的腹膜转移，腹腔镜检查可能会提高其准确性。
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