壶腹部癌术前使用腹腔镜结合腹腔镜超声检查 ,可发现一些影像学不能发现的微小转移灶 ,包括肝表面病灶以及腹腔内的肿大淋巴结和血管浸润等 ,从而综合判断肿瘤是否能够根治性切除。这项技术已经应用于临床。为了评价诊断性腹腔镜的价值和意义 ,作者对 2 97例壶腹部癌病例进行了 Laparoscopic preoperative laparoscopic combined with laparoscopic ultrasonography can find some small metastatic lesions can not be found in imaging, including liver surface lesions and intra-abdominal swollen lymph nodes and vascular infiltration, etc., in order to comprehensively determine whether the tumor can be radical resection. This technology has been applied to the clinic. In order to evaluate the value and significance of diagnostic laparoscopy, the authors conducted a review of 2 97 cases of ampullary carcinoma