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进展期胃癌术前腹腔镜探查的临床意义 被引量:6

Clinical significance of preoperative laparoscopic exploration for advanced gastric cancer
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摘要 目的:探讨为进展期胃癌患者术前行腹腔镜检查的临床价值。方法:回顾分析2006年1月至2008年11月我院收治的18例进展期胃癌患者在全麻下行腹腔镜检查的临床资料。结果:18例术前均未发现腹膜转移,腹腔镜探查发现8例腹膜转移(P1~P3),腹腔镜对腹膜转移的评估显著优于传统术前诊断方法(P<0.05)。结论:腹腔镜可作为常规检查手段的一种补充,对进展期胃癌进行准确的诊断和分期,有助于手术决策的制定、估计治疗结果和预后,避免不必要的剖腹探查。 Objective : To evaluate the clinical value of preoperative laparoscopic exploration of advanced gastric cancer. Methods :The clinical data of 18 patients with advanced gastric cancer,who underwent laparoscopic exploration under general anesthesia ,was retrospectively analyzed. Results:Through laparoscopy 8 cases were found peritoneal metastases which were considered no metastasis according to preoperative clinic staging. Laparoscopic staging for peritoneal metastasis was superior than clinic staging. Conclusions: Laparoscopy is a safe and useful technique for gastric cancer staging and offers a better therapeutic scheme.
出处 《腹腔镜外科杂志》 2009年第9期663-665,共3页 Journal of Laparoscopic Surgery
关键词 胃肿瘤 腹腔镜检查 诊断 肿瘤分期 Stomach neoplasms Laparoscopy Diagnosis Neoplasm staging
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