• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Diagnostic laparoscopy and laparoscopic ultrasonography optimize the staging and resectability of intraabdominal neoplasms.
【24h】

Diagnostic laparoscopy and laparoscopic ultrasonography optimize the staging and resectability of intraabdominal neoplasms.

机译：诊断性腹腔镜检查和腹腔镜超声检查可优化腹腔内肿瘤的分期和可切除性。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Despite technical improvements, preoperative imaging studies often fail to predict intraoperative findings. We investigated the potential use of diagnostic laparoscopy (DL) and laparoscopic ultrasonography (LUS) for the assessment of disease in patients with abdominal neoplasms. METHODS: Fifty consecutive patients with abdominal neoplasms underwent spiral computed tomography with oral and intravenous contrast using 5-mm contiguous sections. In addition, eight patients underwent ultrasonography, six underwent magnetic resonance imaging, and eight underwent positron emission tomography. All patients then underwent DL and LUS using a 7.5-MHz ultrasound probe. RESULTS: There were 29 men and 21 women with a mean age of 63 years (range, 35-84). Most had a diagnosis of colorectal cancer (19 cases), melanoma (12 cases), or hepatoma (five cases). In nine cases (18%), DL revealed peritoneal metastatic implants not shown on preoperative images. In 18 cases (36%), LUS was more accurate than preoperative imaging. Combined DL and LUS findings radically changed the operative management in 16 patients (32%). CONCLUSION: As compared with preoperative imaging, the combination of DL and LUS provides more accurate information regarding staging and resectability. Moreover, it helps to determine the extent of operation and reduces the number of unnecessary laparotomies. DL and LUS should be used as an adjunct to preoperative imaging studies in patients with primary or metastatic intraabdominal neoplasms.
机译：背景：尽管技术上有所进步，但术前影像学研究常常无法预测术中的发现。我们调查了诊断性腹腔镜（DL）和腹腔镜超声检查（LUS）在评估腹部肿瘤患者疾病中的潜在用途。方法：连续50例腹部肿瘤患者接受5毫米连续切片的螺旋CT和口腔和静脉造影。此外，有8例患者接受了超声检查，其中6例接受了磁共振成像，还有8例接受了正电子发射断层扫描。然后，所有患者均使用7.5-MHz超声探头进行DL和LUS。结果：男29例，女21例，平均年龄63岁（范围35-84）。大多数诊断为大肠癌（19例），黑色素瘤（12例）或肝癌（5例）。在9例（18％）的病例中，DL显示术前图像未显示腹膜转移植入物。在18例（36％）中，LUS比术前影像检查更准确。 DL和LUS的综合发现从根本上改变了16例患者（32％）的手术管理。结论：与术前影像学相比，DL和LUS的结合可提供有关分期和可切除性的更准确信息。而且，它有助于确定手术范围并减少不必要的腹腔镜手术的数量。 DL和LUS可以作为原发性或转移性腹腔内肿瘤患者术前影像学研究的辅助手段。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号