On laparoscopic tumor staging.docVIP

 PAGE \* MERGEFORMAT 8 On laparoscopic tumor staging [Paper Keywords] Laparoscopy; tumor; stage [Abstract] has long been clear abdominal staging laparotomy in cancer patients, patients suffering big, costly, for those who can not be removed even more harm than good, even the advanced preoperative imaging of abdominal malignancy that can be removed tumor, when the laparotomy, 20% to 30% due to the planting hidden intra-abdominal spread, liver and regional lymph node metastasis and lose the chance of curative resection. laparoscopy, especially combined with laparoscopic ultrasound technology in Check the hidden intra-abdominal metastases has unique advantages, not only can greatly improve the biopsy directly the level of tumor stage, and patients can select the appropriate short-circuit direct implementation of laparoscopic surgery, chemotherapy pump embedded like palliative treatment, as possible to avoid unnecessary laparotomy, reduce complications and costs. 1 status of laparoscopic tumor staging 1.1 gastric cardia growing intra-abdominal laparoscopic diagnosis of disseminated tumor specific, very accurate combination of laparoscopic ultrasound is able to range of tumor invasion, tumor metastasis deep organs, lymph node and other to make more accurate diagnosis , can greatly improve the level of its phases, and thus for the evaluation of tumor resectability, the development of rational treatment programs provide strong evidence. DUgo DM and other 70 cases of abdominal surgery patients immediately before the application of the laparoscopic staging, according to TNM stage and pathological findings and abdominal B-ultrasound / CT were analyzed. laparoscopic staging of total correct diagnosis rate was 68.6%, significantly higher than the B-/ CT (32.8%). in violation of the diagnosis of local tumor extent, the abdominal cavity mirror the correct diagnosis rate was significantly higher than B-/ CT, T3 period were 69.7% and 12.1%, T4 stage were 84.2% and 42