Friess H, Baer H U, Sadowski C, Büchler M W
Klinik für Viszerale und Transplantationschirurgie, Universität Bern, Inselspital.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:474-6.
The value of diagnostic laparoscopy to improve tumor staging in patients with pancreatic and periampullary cancer is still a matter of controversial discussion, especially with regard to whether diagnostic laparoscopy can identify patients in whom a laparotomy can be avoided due to metastases. To answer this question, all patients who underwent operations for pancreatic cancer (n = 97) or periampullary cancer (n = 30) between 11/1993 and 12/1995 were evaluated. Only 10% of the patients with periampullary/pancreatic cancer and 13% with pancreatic cancer could avoid laparotomy through diagnostic laparoscopy. Due to these low numbers, a diagnostic laparotomy cannot be recommended in general in patients with pancreatic and/or periampullary cancer on economic grounds and because of the risk of trocar metastases.
诊断性腹腔镜检查对于改善胰腺癌和壶腹周围癌患者肿瘤分期的价值仍存在争议，尤其是关于诊断性腹腔镜检查能否识别出因转移而可避免开腹手术的患者。为回答这个问题，我们评估了1993年11月至1995年12月期间所有接受胰腺癌手术（n = 97）或壶腹周围癌手术（n = 30）的患者。仅有10%的壶腹周围癌/胰腺癌患者以及13%的胰腺癌患者能够通过诊断性腹腔镜检查避免开腹手术。由于这一比例较低，基于经济原因以及套管针转移风险，一般不建议对胰腺癌和/或壶腹周围癌患者进行诊断性剖腹探查术。
