摘要
目的 探讨针形腹腔镜检查对中晚期胃肠道癌治疗方案的术前评估。方法 25例老年中晚期胃肠道癌在术前局麻下接受 2 mm针形腹腔镜检查。结果 胃癌淋巴转移和腹膜转移与剖腹手术比较，符合率分别为 61. 5％（ 8/13例）和 3/5例。结直肠癌淋巴转移和腹膜转移符合率分别为 5/6例和 1/2例。结论 局麻下针形腹腔镜检查作为补充和完善影像学和临床诊断，在肿瘤的临床分期、治疗方案制定、合理术式选择等方面均具一定价值，值得进一步探讨。
Objective To evaluate the clinical stage of gastrointestinal cancers for therapeutic schedule by the needle type laparoscope before operation. Methods Twenty- five old cases suffering from the end stage of gastrointestinal cancers received 2 mm needle type laparoscope examination under local anesthesia. Results Compared with the operative outcomes, the coincidence rates of lymph node metastasis and metastasis in abdominal cavity were 61. 5％ (8/13 cases) and 3 /5 cases in gastric cancer respectively. The metastatic rates of lymph node and abdominal cavity in colorectal cancer were 5/6 cases and 1/2 cases respectively. Conclusion Application of this examination can improve the diagnostic accuracy from the clinical and imaging examinations and offer a better therapeutic regime.
