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目的:探讨腹腔镜检查对胃癌分期的价值。方法:2007年1月至2007年11月收治的胃癌患者14例胃癌患者在全麻下行腹腔镜检查。结果:腹腔镜T分期与术后病理检查结果符合率为92.9%,术前临床T分期与术后病理检查结果符合率为64.3%。腹腔镜分期显著优于临床分期P<0.05。在14例术前临床分期均未发现腹膜转移的病例中,腹腔镜探查发现有腹膜转移(P1-P3)者4例,腹腔镜对腹膜转移的评估显著优于临床分期P<0.05。结论:腹腔镜可作为常规检查手段的一种补充,能对进展期胃癌进行准确的诊断和分期,有助于手术决策制定及估计治疗结果与预后,避免不必要的剖腹探查。
Objective: To investigate the value of laparoscopy in the staging of gastric cancer. Methods: From January 2007 to November 2007, 14 patients with gastric cancer underwent laparoscopy under general anesthesia. Results: The coincidence rate of laparoscopic T staging and postoperative pathological examination was 92.9%. The coincidence rate of preoperative clinical T staging and postoperative pathological examination was 64.3%. Laparoscopic staging was significantly better than the clinical stage P <0.05. Among the 14 cases with no peritoneal metastasis in the preoperative clinical stage, 4 cases were found with laparoscopic detection of peritoneal metastasis (P1-P3). Laparoscopic evaluation of peritoneal metastasis was significantly better than that of clinical stage (P <0.05). Conclusion: Laparoscopy can be used as a supplement to routine examination, which can accurately diagnose and stage advanced gastric cancer. It is helpful for the making of surgical decisions and estimation of treatment outcomes and prognosis, and avoiding unnecessary laparotomy.