Popova T N, Korzhenskiĭ F P
Khirurgiia (Mosk). 1989 May(5):33-4.
The authors employed laparoscopy as a method of final examination for identifying the stage of a neoplastic process in 259 patients. Obvious signs of generalization of the process were found in 110 patients (42.5 +/- 6.0%). An unnecessary additional trauma--diagnostic laparotomy was avoided in this case. The informativeness of laparoscopic examination was 97.3 +/- 3.6% in metastases to the liver, 96.1 +/- 5.3% in metastatic involvement of the parietal peritoneum, and 87.7 +/- 8.5% in ascites. The diagnosis was verified morphologically.
作者采用腹腔镜检查作为最终检查方法，以确定259例患者肿瘤病变的分期。在110例患者（42.5±6.0%）中发现了病变播散的明显迹象。在此情况下避免了不必要的额外创伤——诊断性剖腹手术。腹腔镜检查对肝转移的诊断准确率为97.3±3.6%，对壁层腹膜转移的诊断准确率为96.1±5.3%，对腹水的诊断准确率为87.7±8.5%。诊断经形态学证实。
