par Mendes Da Costa, Pierre
Référence Acta chirurgica Belgica (Ed. bilingue), 74, 6, page (602-615)
Publication Publié, 1975
Article révisé par les pairs
Résumé : Between January 1, 1971 and February 1, 1974, 31 patients underwent laparotomy for staging of a malignant lymphoma, Hodgkin or otherwise. Laparotomy consisted in a median incision, above and below the umbilicus allowing multiple node biopsies, hepatic and splenic biopsies. In 17 cases out of 31 (54%) preoperative clinical stage was changed by this explorative pathology. Among untreated cases the most frequent change was from a low to a higher stage and vice versa among treated cases, most frequent changes were from plus to minus. Postoperative mortality is nil and morbidity 5/31, (16%). This technique yields better definition of the degree of lymphoma extension, particularly intra abdominal, and allows better treatment. The author recommends explorative laparotomy with splenectomy for all malignant lymphomas, Hodgkin or not (except for stage IV) proven by biopsy.