Jerby B L, Milsom J W
Department of Colorectal Surgery, Cleveland Clinic Foundation, Ohio, USA.
Oncology (Williston Park). 1998 Sep;12(9):1353-60.
Accurate staging plays a primary role in determining the appropriate treatment of gastrointestinal malignancies. Recently, laparoscopy has emerged as a staging modality that is more sensitive and specific in staging most gastrointestinal cancers than preoperative imaging modalities. The addition of laparoscopic ultrasonographic techniques has achieved even greater staging accuracy. Consequently, patients with disease that is amenable to resection are better identified, and others with locally advanced disease are spared unnecessary laparotomies. Since laparoscopic techniques may be associated with low morbidity and a rapid recovery, palliative procedures are being developed for patients with advanced gastrointestinal malignancies. This reviews summarizes the current status of laparoscopic staging of gastrointestinal malignancies and compares this technique to preoperative imaging modalities. Also discussed are promising staging technologies and therapeutic procedures that may soon play an important role in the management of gastrointestinal cancer patients.
准确分期在确定胃肠道恶性肿瘤的适当治疗方案中起着主要作用。近年来，腹腔镜检查已成为一种分期手段，在大多数胃肠道癌症的分期中，它比术前影像学手段更敏感、更具特异性。腹腔镜超声技术的加入使分期准确性更高。因此，适合切除的疾病患者能得到更好的识别，而其他局部晚期疾病患者则可避免不必要的开腹手术。由于腹腔镜技术可能具有低发病率和快速康复的特点，目前正在为晚期胃肠道恶性肿瘤患者开发姑息性手术。本综述总结了胃肠道恶性肿瘤腹腔镜分期的现状，并将该技术与术前影像学手段进行了比较。还讨论了可能很快在胃肠道癌症患者管理中发挥重要作用的有前景的分期技术和治疗方法。
