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首页> 外文期刊>Surgical Endoscopy >Laparoscopic staging of intraabdominal malignancy.
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Laparoscopic staging of intraabdominal malignancy.

机译：腹腔镜对腹腔内恶性肿瘤的分期。

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Laparoscopic visualization techniques have improved dramatically over the last 5 years and have led to reassessment of the laparoscope for use in the staging of intraabdominal malignancy. One hundred sixty-two consecutive cases undergoing preoperative staging laparoscopy from January 1988 to December 1993 were reviewed in order to determine the value of laparoscopy as a staging tool. Indications for staging laparoscopy were predominantly hepatopancreaticobiliary (85%); however, other primaries such as stomach and colon were included. In 36% of cases information found at laparoscopy precluded resection and prevented unnecessary laparotomy. Additional information that was felt to be helpful in planning resection was found in 30% of cases. In 12% of cases unresectability was found only at the time of laparotomy and was missed by staging laparoscopy. We conclude that laparoscopy is a useful preoperative staging tool and can help avoid unnecessary laparotomy for intraabdominal malignancy in one-third of patients.
机译：在过去的五年中，腹腔镜可视化技术已得到显着改善，并导致对腹腔镜用于腹腔内恶性肿瘤分期的重新评估。为了确定腹腔镜作为分期工具的价值，回顾了从1988年1月至1993年12月接受手术前分期腹腔镜检查的162例病例。腹腔镜分期的指征主要是肝胰胆管癌（85％）。但是，还包括其他原发细胞，例如胃和结肠。在36％的病例中，在腹腔镜检查中发现的信息排除了切除的可能性，并避免了不必要的剖腹手术。在30％的病例中发现了有助于计划切除的其他信息。在12％的病例中，只有在剖腹手术时才发现不可切除性，而分期腹腔镜检查却将其遗漏。我们得出的结论是，腹腔镜检查是一种有用的术前分期工具，可以帮助避免三分之一的患者因腹腔内恶性肿瘤而进行不必要的剖腹手术。

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