腹腔镜胃癌分期的初步临床观察

目的：探讨腹腔镜检查对胃癌分期的价值。方法：2007年1月至2007年11月收治的胃癌患者14例胃癌患者在全麻下行腹腔镜检查。结果：腹腔镜T分期与术后病理检查结果符合率为92．9％，术前临床T分期与术后病理检查结果符合率为64．3％。腹腔镜分期显著优于临床分期P〈0．05。在14例术前临床分期均未发现腹膜转移的病例中，腹腔镜探查发现有腹膜转移（P1-P3）者4例，腹腔镜对腹膜转移的评估显著优于临床分期P〈0．05。结论：腹腔镜可作为常规检查手段的一种补充，能对进展期胃癌进行准确的诊断和分期，有助于手术决策制定及估计治疗结果与预后，避免不必要的剖腹探查。

Clinical Preliminary Observations on Laparoscopic Staging of Gastric Cancer

Objective： To evaluate the clinical value of laparoscopic staging of gastric cancer before gastrectomy. Methods： Fourteen patients with clinical T3 or T4 gastric cancer expected to undergo curative resection, based on conventional preoperative diagnostic methods underwent staging laparoscopy. Results： The coincidence rate of tumor stage between laparoscopy and autopsy was 92. 9%, The coincidence rate of tumor stage between preoperative clinical and postoperative autopsy was 64.3 %. laparoscopic staging was superior to clinic staging. Laparoscopic staging for peritoneal metastases was superior to clinic staging, because laparoscopy found 4 cases of peritoneal metastases which were considered no metastasis according to preoperative clinic staging. Conclusions.. Laparoscopy is a safe and useful technique in the stage of gastric cancer and offers a better therapeutic scheme.