O'Hanlon D M, Kerin M J, O'Donoghue J M, Doyle J P, Flynn J R
Department of Surgery, Portiuncula General Hospital, Ballinasloe, Ireland.
Ann R Coll Surg Engl. 1994 Sep;76(5):315-6.
The performance of a general exploratory laparotomy immediately after opening the abdominal cavity has long been a foundation of surgical practice. Since the introduction of laparoscopy, this procedure has been modified. This may result in certain intra-abdominal pathologies being overlooked, especially in areas that are hard to observe with the laparoscope. In this paper we describe two patients who presented with carcinomas after uneventful laparoscopic procedures, one of the lower oesophagus and the other of the pancreas. This raises questions about the extent of preoperative investigation before the performance of laparoscopic procedures.
打开腹腔后立即进行常规探查性剖腹手术，长期以来一直是外科手术实践的基础。自从腹腔镜检查引入以来，这一手术方式已经有所改变。这可能导致某些腹腔内病变被忽视，尤其是在腹腔镜难以观察到的区域。在本文中，我们描述了两名患者，他们在腹腔镜手术顺利完成后出现了癌症，一名是下段食管癌，另一名是胰腺癌。这引发了关于在进行腹腔镜手术前术前检查范围的问题。
