在腹腔内恶性肿瘤的手术前，如能获得正确的分期资料，将可减少不必要的剖腹探查，腹腔镜检可以完成这个分期目的。作者复习DetroitHenryFord医院外科1996～1997年期间18个月内胃肠道和肝胆胰恶性肿瘤的病史记录，其中48例先作腹腔镜分期检查（staginglaparoscopy，SL），80例 Before the operation of intra-abdominal malignancy, if you can obtain the correct staging data, unnecessary exploratory laparotomy will be reduced. Laparoscopy can complete this staging purpose. The authors reviewed the history of gastrointestinal and hepatobiliary and pancreatic malignancies within 18 months of DetroitHenryFord’s surgical department from 1996 to 1997. Among them, 48 cases were performed laparoscopic staging laparoscopy (SL) firstly, 80 cases