【摘要】 目的 探讨针形腹腔镜检查对胃肠道癌治疗研究。方法 25例老年胃肠道癌在术前局麻下接受2mm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)和60%(3/5)例。结直肠癌淋巴转移和腹膜转移符合率分别为83.3%(5/6)和50%(1/2)。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。

    【关键词】腹腔镜 肿瘤 胃肠道

    Reasonable Treatment Program of Needle Laparoscopy Gastrointestinal Cancer YU Gao-sheng，ZHU Qing.(Department of general surgery ，Heze Municipal Hospital, Heze 274031，China)

    【Abstract】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 60%(3/5)cases in gastric cancer respectively. The metastatic rates of lymph node and abdominal cavity in colorectal cancer were 83.3%(5/6)cases and 50%(1/2)case respectively. Conclusion Application of this examination can improve the diagnostic accuracy from the clinical and imaging examinations and offer a better therapeutic regime. ......