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The role of staging laparoscopy for intraabdominal cancers: an evidence-based review.

机译:腹腔镜分期在腹腔内癌中的作用:循证审查。

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摘要

Diagnostic laparoscopy is minimally invasive surgery for the diagnosis of intraabdominal diseases. The aim of this review is a critical examination of the available literature on the role of laparoscopy for the staging of intraabdominal cancers. A systematic literature search of English-language articles on MEDLINE, the Cochrane database of evidence-based reviews, and the Database of Abstracts of Reviews of Effects was performed for the period 1995-2006. The level of evidence in the identified articles was graded. The search identified and reviewed seven main categories that have received attention in the literature: esophageal cancer, gastric cancer, pancreatic cancer, hepatocellular carcinoma, biliary tract cancer, colorectal cancer, and lymphoma. The indications, contraindications, risks, benefits, diagnostic accuracy of the procedure, and its associated morbidity are discussed. The limitations of the available literature are highlighted, and evidence-based recommendations for the use of laparoscopyto stage intraabdominal cancers are provided.
机译:诊断性腹腔镜检查是用于诊断腹腔内疾病的微创手术。这篇综述的目的是对有关腹腔镜在腹腔内癌分期中的作用的现有文献进行严格的检查。在1995年至2006年期间,对MEDLINE,循证评价的Cochrane数据库和效果评价摘要数据库的英语文章进行了系统的文献检索。对所确定文章中的证据等级进行分级。该搜索确定并回顾了文献中已引起关注的七个主要类别:食道癌,胃癌,胰腺癌,肝细胞癌,胆道癌,结直肠癌和淋巴瘤。讨论了适应症,禁忌症,风险,益处,该方法的诊断准确性及其相关的发病率。突出了现有文献的局限性,并提供了基于腹腔镜检查以诊断腹腔内癌的循证医学建议。

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