Back to Search
Start Over
[Value of multidetector CT on aiding intraoperative judgement of serosal invasion of gastric cancer].
- Source :
-
Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery [Zhonghua Wei Chang Wai Ke Za Zhi] 2013 Jan; Vol. 16 (1), pp. 48-51. - Publication Year :
- 2013
-
Abstract
- Objective: To explore the value of multidetector CT on aiding intraoperative judgement of serosal invasion of gastric cancer.<br />Methods: Clinical data of 206 cases of gastric cancer undergoing radical surgery in the First Hosptial of China Medical University from August 2009 to June 2011 were analyzed retrospectively. Preoperative CT findings and intraoperative judgement of serosal invasion in gastric cancer were compared with pathological results in order to investigate their values.<br />Results: The sensitivity and specificity of preoperative CT findings and intraoperative judgement of serosal invasion were 88.5%, 81.5% and 98.9%, 61.3%, respectively. The accuracy of preoperative CT in diagnosing serosal invasion was higher than that of intraoperative judgement, while the difference was not statistically significant (84.5% vs. 77.2%, P=0.060). The rates of serosal invasion of normal type, reactive type, nodular type, tendonoid type and color-diffused type were 0 (0/29), 2.5% (1/40), 40.5% (15/37), 59.2% (29/49), and 82.4% (42/51) respectively. The accuracy of preoperative CT in diagnosing serosal invasion of gastric cancer with tendonoid type was higher than that of intraoperative judgement, and the difference was statistically significant (61.2% vs. 87.8%, P=0.002).<br />Conclusions: Multidetector CT plays an important role in aiding intraoperation judgement of serosal invasion of gastric cancer. For gastric cancer with tendonoid and color-diffused macroscopic serosal appearance, surgeons should pay attention to the value of preoperative CT findings.
- Subjects :
- Adult
Aged
Aged, 80 and over
Female
Humans
Intraoperative Care
Male
Middle Aged
Neoplasm Invasiveness diagnostic imaging
Retrospective Studies
Sensitivity and Specificity
Serous Membrane diagnostic imaging
Stomach Neoplasms diagnostic imaging
Serous Membrane pathology
Stomach Neoplasms pathology
Tomography, Spiral Computed methods
Subjects
Details
- Language :
- Chinese
- ISSN :
- 1671-0274
- Volume :
- 16
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery
- Publication Type :
- Academic Journal
- Accession number :
- 23355240