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目的 采用术中道格拉斯窝腹膜活检的方法确定胃癌隐匿型腹膜转移。方法 从1998年 4月～ 1999年 8月 ,选择我院 16例术前、术中均无肉眼及用手可触及的腹膜远处转移的胃癌病例 ,行术中道格拉斯窝活检病理检查。结果 本组 16例胃癌中有 5例发生道格拉斯窝腹膜隐匿型转移 ,其侵犯深度均属S期病例 ,且淋巴结转移数目均超过 7枚 ,属TNM分期中N2 、N3 期病例。结论 凡侵及浆膜的胃癌病例 ,即使在探查时未发现远处腹膜转移 ,术中也应常规做道格拉斯窝腹膜活检 ,以发现有远处隐匿型腹膜转移的病例。
Objective To determine the concealed peritoneal metastasis of gastric cancer by intraoperative peritoneal biopsy of Douglas. Methods From April 1998 to August 1999, 16 cases of gastric cancer with peritoneal metastasis in the peritoneum without any macroscopic or intraoperative resection were selected in our hospital from January 1998 to August 1999, and pathological examination of intraoperative Douglas Ward biopsy was performed. Results In this group of 16 gastric cancer, 5 cases of Douglas nest peritoneal occult transition occurred, the invasion depth are S cases, and the number of lymph node metastases were more than 7, which is TNM staging N2, N3 cases. Conclusions All patients with gastric carcinoma invading the serosa, even if no distant peritoneal metastasis was found during the exploration, routine intraoperative Douglas Fossa peritoneal biopsy should be performed to find cases of distant peritoneal metastasis.