Schrenk P, Wayand W
Second Surgical Unit, AKH Linz, Austria.
Int Surg. 1995 Oct-Dec;80(4):353-5.
Diagnostic laparoscopy was performed in 72 patients for diagnosis of suspected cancer or staging of intraabdominal malignancies. In 66 of 72 patients (91.7%) a diagnosis was possible laparoscopically and in 53 patients (73.6%) a laparotomy was avoided. In 19 of 72 patients (26.4%) laparoscopy changed staging of preoperative non-invasive test and helped to plan proper surgical management. Laparoscopy has proved to be an effective diagnostic tool in abdominal malignancies and should help to avoid unnecessary laparotomies in case of incurable disease. It should be used complementary to non-invasive imaging methods and the addition of laparoscopic ultrasonography will improve the accuracy of examination.
对72例疑似癌症患者或腹腔内恶性肿瘤进行分期的患者实施了诊断性腹腔镜检查。72例患者中有66例（91.7%）通过腹腔镜检查得以确诊，53例患者（73.6%）避免了开腹手术。72例患者中有19例（26.4%）腹腔镜检查改变了术前非侵入性检查的分期，并有助于制定合适的手术治疗方案。腹腔镜检查已被证明是诊断腹部恶性肿瘤的有效工具，在疾病无法治愈的情况下应有助于避免不必要的开腹手术。它应与非侵入性成像方法互补使用，增加腹腔镜超声检查将提高检查的准确性。
