Porte H, Copin M C, Eraldi L, Roumilhac D, Jaillard-Thery S, Puech P, Bauters F, Gosselin B, Wurtz A
Clinique Chirurgicale, Hôpital Calmette, Lille, France.
Br J Surg. 1997 Oct;84(10):1433-6.
Retroperitoneoscopy (RPS) is a form of direct vision endoscopy, used to explore the retroperitoneal space, and was first described by Bartel in 1969.
RPS was performed prospectively to diagnose infiltrating retroperitoneal lymphadenopathy or masses when needle aspiration biopsy under computed tomographic guidance (NABCT) failed to establish a definite diagnosis.
From May 1985 to August 1995, RPS was performed in 118 patients (121 procedures). Mean hospital stay was 2.4 (range 2-5) days. The peroperative and perioperative morbidity rate was 6.6 per cent of the procedures. A precise diagnosis was obtained in 108 of the 118 patients. The sensitivity was 84 per cent for malignant lymphoma, 94 per cent for Hodgkin's lymphoma, 95 per cent for metastatic lymph nodes of carcinomas and 100 per cent for primary retroperitoneal tumours. The overall sensitivity was 91.5 per cent.
RPS is an alternative procedure to NABCT when aspiration biopsy is not technically feasible because a lesion is too small to sample or failed to establish a precise histopathological diagnosis.
后腹腔镜检查术（RPS）是一种直视内镜检查形式，用于探查腹膜后间隙，1969年由巴特尔首次描述。
当计算机断层扫描引导下针吸活检（NABCT）未能明确诊断时，前瞻性地进行RPS以诊断浸润性腹膜后淋巴结病或肿块。
1985年5月至1995年8月，对118例患者进行了121例次RPS。平均住院时间为2.4（2 - 5）天。手术中和围手术期的发病率为手术例次的6.6%。118例患者中有108例获得了准确诊断。恶性淋巴瘤的敏感性为84%，霍奇金淋巴瘤为94%，癌转移淋巴结为95%，原发性腹膜后肿瘤为100%。总体敏感性为91.5%。
当由于病变太小无法取样或未能建立精确的组织病理学诊断而导致针吸活检在技术上不可行时，RPS是NABCT的替代方法。
