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在大多数国家.胃癌的预后不佳,天然的五年存活率为4～15％。仅约21～58％的胃癌可行切除。因此,对所有胃癌患者都进行剖腹探查似不合理;而且剖腹手术的合并症之发生率高,死亡率也不少(14～28％)。腹腔镜检查是比较小的手术,可用腹腔镜检查对胃癌进行评定,这对患有不能根治而又没有发生梗阻的胃癌病例似乎特别有用。本文报告作者用腹腔镜检查评定胃癌的经验。 作者研究了46例连续病例(男性33例,女性13例),均经组织学证实为胃腺癌。有2例其包块已提
In most countries, the prognosis of gastric cancer is poor, and the natural 5-year survival rate is 4 to 15%. Only about 21 to 58% of the possible resection of gastric cancer. Therefore, it seems unreasonable to perform laparotomy on all patients with gastric cancer; and the incidence of complications of laparotomy is high, and the mortality rate is also quite large (14-28%). Laparoscopy is a relatively small procedure. Laparoscopy can be used to assess gastric cancer. This appears to be particularly useful in cases of gastric cancer that are incurable without obstruction. This article reports the author’s experience in evaluating gastric cancer with laparoscopy. The authors studied 46 consecutive cases (33 males and 13 females), all confirmed by histology as gastric adenocarcinoma. There are 2 cases whose blocks have been mentioned