Cook A O, Levine B A, Sirinek K R, Gaskill H V
Arch Surg. 1986 May;121(5):603-6. doi: 10.1001/archsurg.1986.01400050121016.
Computed tomography (CT) has been suggested as an alternative to celiotomy for predicting the stage and resectability of gastric carcinoma. Since it is the policy at our institution to explore all patients regardless of CT findings, this experience was reviewed to see if changes were warranted. Thirty-seven patients with gastric adenocarcinoma underwent preoperative CT scanning. The extent of disease found after operation was compared with the CT assessment. Nineteen patients (51%) were found to have more extensive disease than was predicted by CT. Of the six patients predicted to have widespread disease by CT, three (50%) were found at operation to have disease confined to the stomach or regional nodes. These data support a continued role for celiotomy in managing gastric adenocarcinoma of the stomach since a significant percentage of patients whose disease is believed to be unresectable after CT have potentially curable lesions.
计算机断层扫描（CT）已被提议作为剖腹探查术的替代方法，用于预测胃癌的分期和可切除性。由于我们机构的政策是对所有患者进行探查，无论CT检查结果如何，因此对这一经验进行了回顾，以确定是否需要做出改变。37例胃腺癌患者术前行CT扫描。将术后发现的疾病范围与CT评估结果进行比较。发现19例患者（51%）的疾病范围比CT预测的更广泛。在CT预测有广泛疾病的6例患者中，3例（50%）在手术中发现疾病局限于胃或区域淋巴结。这些数据支持剖腹探查术在治疗胃腺癌中继续发挥作用，因为相当一部分在CT检查后被认为无法切除的患者有可能存在可治愈的病变。
