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作者观察125例原发性支气管癌住院病例的肝转移情况。男性112例、女性13例;平均年龄63岁,鳞癌21例、腺癌和/或未分化癌25例。对其中100例用备有冷光源的硬质腹腔镜,在局麻或全麻下作检查。其余25例因高龄、体弱或临床已肯定肝转移(7例),故未作检查。腹腔镜检查成功92例,其余8例因腹腔粘连而未成功。除3例在充气或插管时感不适外,其余病人耐受良好,无严重反应。根据检查发现15/92例(16.3％)有肝转移,其中鳞癌8/61(13.1％)、小细胞癌6/17例(35.3％)、
The authors observed liver metastases in 125 patients with primary bronchogenic carcinoma. There were 112 males and 13 females; the average age was 63 years; there were 21 squamous cell carcinomas, 25 adenocarcinomas and/or undifferentiated carcinomas. Of the 100 cases, rigid laparoscopes equipped with cold light sources were examined under local anesthesia or general anesthesia. The remaining 25 patients were not examined due to advanced age, frailty, or clinically confirmed liver metastases (7 cases). Laparoscopic examination was successful in 92 cases, and the remaining 8 cases were unsuccessful due to abdominal adhesions. Except for 3 cases who felt discomfort when inflated or intubated, the remaining patients were well tolerated and had no serious reactions. According to the examination, 15/92 patients (16.3%) had liver metastases, including 8/61 (13.1%) of squamous cell carcinoma and 6/17 (35.3%) of small cell carcinoma,