LAPAROSCOPIC APPROACHES TO ABDOMINAL-MALIGNANCY

被引：7

作者：

GREENE, FL ^{[1
]}

BROWN, PA ^{[1
]}

机构：

[1] UNIV S CAROLINA,SCH MED,DEPT SURG,COLUMBIA,SC 29203

来源：

SEMINARS IN SURGICAL ONCOLOGY | 1994年 / 10卷 / 06期

关键词：

LAPAROSCOPY; STAGING;

D O I：

10.1002/ssu.2980100603

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

The use of laparoscopy for diagnosis and staging of intra-abdominal malignancies is not an exclusive procedure. It is another modality in the armamentarium of caring for the patient. The selection of the appropriate patients is discussed in detail and must include a determination of the long-range plans for intervention. The technical issues include problems of previous abdominal surgery, adhesions, ability to tolerate general endotracheal anesthesia, and ability to properly position the patient for an adequate examination. The endoscopic surgeon must be able to differentiate between the benign and malignant process during endoscopic examination and must be skilled in obtaining appropriate biopsies. In the staging of lymphoma, laparoscopy has virtually replaced the open celiotomy technique. Laparoscopic removal of appropriate lymph nodes is essential. The role of laparoscopy in a second-look operation is discussed as well as contraindications and complications of the procedure. (C) 1994 Wiley-Liss, Inc.

引用

页码：386 / 390

页数：5

共 18 条

[1]

Gunning JE, The history of laparoscopy, J Reprod Med, 12, (1974)

[2]

Kelling G, Zur Celioskopie, Arch Klin Med, 111, pp. 303-348, (1929)

[3]

Jacobaeus HC, Kurze Übersicht über meine Erfahrungen mit der Laparoskopie, Münch Med Wschr, 58, pp. 2017-2019, (1911)

[4]

Bernheim B, Organoscopy: Cystoscopy of the abdominal cavity, Annals of Surgery, 53, (1911)

[5]

Hasan FA, Jeffers LJ, Welsh SW, Et al., Hepatic involvement as the primary manifestation of Kaposi's sarcoma in the acquired immune deficiency syndrome, Am J Gastroenterol, 84, pp. 1449-1451, (1989)

[6]

Jeffers L, Spieglman G, Reddy KR, Et al., Laparoscopically directed fine needle aspiration for the diagnosis of hepatocellular carcinoma—A safe and accurate technique, Gastrointest Endosc, 34, pp. 235-237, (1988)

[7]

Cuschieri A, Hall AW, Clark J, Value of laparoscopy in the diagnosis and management of pancreatic carcinoma, GUT, 19, pp. 672-677, (1978)

[8]

Cuschieri A, Laparoscopy for pancreatic cancer: Does it benefit the patient, Eur J Surg Oncol, 14, pp. 41-44, (1988)

[9]

Warshaw AL, Gu Z, Wittenberg J, Et al., Preoperative staging and assessment of resectability of pancreatic cancer, Arch Surg, 125, pp. 230-233, (1990)

[10]

Speer A, Cotton PB, Rusell RCG, Et al., Randomized trial of endoscopic versus percutaneous stent insertion in malignant obstructive jaundice, Lancet, 2, pp. 57-62, (1987)

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