van Delden O M, de Wit L T, Nieveen van Dijkum E J, Reeders J W, Gouma D J
Department of Radiology, University of Amsterdam, The Netherlands.
Eur Radiol. 1998;8(8):1405-8. doi: 10.1007/s003300050561.
In recent years, laparoscopic ultrasonography has been introduced as an adjunct to diagnostic laparoscopy for staging of tumors of the upper gastrointestinal tract, liver, biliary tree, and pancreas. It has proved feasible to visualize most anatomic structures in the upper abdomen consistently and in detail with laparoscopic ultrasonography. Recent publications indicate that laparoscopic ultrasonography may be useful for detecting small liver metastases, lymph node metastases, small primary tumors of the pancreas and bile ducts, and for the assessment of the local extension of tumors of the pancreas and stomach. The ongoing improvements in US technology and the results of larger studies will in the near future determine the precise place of this new imaging modality for staging of abdominal tumors.
近年来，腹腔镜超声检查已作为诊断性腹腔镜检查的辅助手段，用于上消化道、肝脏、胆管和胰腺肿瘤的分期。事实证明，通过腹腔镜超声检查能够持续且详细地观察上腹部的大多数解剖结构。近期的出版物表明，腹腔镜超声检查对于检测小的肝转移瘤、淋巴结转移瘤、胰腺和胆管的小原发肿瘤以及评估胰腺和胃部肿瘤的局部扩展可能是有用的。超声技术的不断改进以及更大规模研究的结果将在不久的将来确定这种新的成像方式在腹部肿瘤分期中的准确地位。
