Waldor P A, Jaffe B M
Arch Surg. 1980 Mar;115(3):258-61. doi: 10.1001/archsurg.1980.01380030014004.
The records of 136 patients with Hodgkin's lymphoma and of 32 patients with non-Hodgkin's lymphoma who underwent staging laparotomy were reviewed. There were changes in the clinical stage of 25% of the patients after laparotomy. Forty-one percent of the lymphangiograms and 55% of the liver-spleen scintiscans were inaccurate or nondiagnostic. There were few stage alterations by laparotomy in patients in clinical stages I and II. There was a higher frequency of stage changes in clinical stage III1 and III2 patients. Staging laparotomy is not recommended for clinical stages I and II but is mandatory for stages III1 and III2.
对136例接受分期剖腹术的霍奇金淋巴瘤患者和32例非霍奇金淋巴瘤患者的记录进行了回顾。剖腹术后25%的患者临床分期发生了变化。41%的淋巴管造影和55%的肝脾闪烁扫描不准确或无法诊断。临床分期为I期和II期的患者经剖腹术分期改变较少。临床分期为III1期和III2期的患者分期改变频率较高。不建议对临床分期为I期和II期的患者进行分期剖腹术，但对III1期和III2期患者则是必需的。
