Weiner R, Winterberg U, Bockhorn H
Chirurgische Klinik, Krankenhauses Nordwest, Frankfurt am Main.
Zentralbl Chir. 1995;120(5):350-2.
Laparoscopic staging was carried out in 28 cases with carcinomas of the distal esophagus, cardia, stomach or pancreas. The intention was first to rule out peritoneal carcinomatosis and secondly to see, whether RO-resection would be possible, mainly for the reason of therapeutic splitting. The diagnostic accuracy can be raised to 95% using laparoscopic ultrasound, exploration of the lesser sac of the peritoneum and tissue sampling in combination with preoperative endoscopy and radiography. In 39.3% of the investigated patients the staging must be corrected after laparoscopic staging compared with the preoperative findings. 35.7% of the patients did not need explorative laparotomy.
对28例远端食管癌、贲门癌、胃癌或胰腺癌患者进行了腹腔镜分期。目的一是排除腹膜癌转移，二是确定是否可行根治性切除，主要是出于治疗性分类的考虑。结合术前内镜检查和放射检查，使用腹腔镜超声、探查腹膜小囊和组织取样，可将诊断准确率提高到95%。与术前检查结果相比，39.3%的受调查患者在腹腔镜分期后需修正分期。35.7%的患者无需进行剖腹探查术。
