Dent D M, King H S, Kahn L, Jacobs P
Surg Gynecol Obstet. 1977 Aug;145(2):179-82.
Seventy-one patients with lymphoma underwent staging laparotomy. Fifty of the patients had Hodgkin's disease and the remainder, non-Hodgkin's lymphoma. One patient died from pulmonary embolism on the tenth postoperative day, one required temporary assisted ventilation, one required reoperation for hemorrhage and six patients had infectious complications which responded to appropriate antibiotic therapy. Despite extensive noninvasive procedures, including bone marrow trephine biopsy and lymphangiography, in approximately 30% of the patients, the disease was restaged as a result of the operation. Since primary management of these diseases is critically dependent upon accurate staging, we conclude that, at the present time, this procedure is indispensible for proper management, as it contributes information not available from other currently used investigational techniques.
71例淋巴瘤患者接受了分期剖腹术。其中50例患有霍奇金病，其余为非霍奇金淋巴瘤。1例患者术后第10天死于肺栓塞，1例需要临时辅助通气，1例因出血需要再次手术，6例患者出现感染并发症，经适当抗生素治疗后好转。尽管进行了广泛的非侵入性检查，包括骨髓穿刺活检和淋巴管造影，但仍有大约30%的患者因手术而重新进行了分期。由于这些疾病的主要治疗方法严重依赖于准确的分期，我们得出结论，目前该手术对于正确治疗是必不可少的，因为它能提供其他目前使用的检查技术无法获得的信息。
