Technique and value of staging laparoscopy.

Details

Serval ID
serval:BIB_5F337082514A
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Technique and value of staging laparoscopy.
Journal
Digestive surgery
Author(s)
Giger U., Schäfer M., Krähenbühl L.
ISSN
0253-4886 (Print)
ISSN-L
0253-4886
Publication state
Published
Issued date
2002
Peer-reviewed
Oui
Volume
19
Number
6
Pages
473-478
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Despite significant improvements in preoperative tumor staging due to sophisticated new imaging and interventional techniques, peritoneal tumor spread and occult liver and lymph node metastases are only detected during surgery in some patients. Newer treatment modalities using neoadjuvant regimens are only given if occult tumor spread is excluded. Diagnostic laparoscopy has therefore been introduced to prevent patients with advanced tumor disease from unnecessary laparotomy and as a diagnostic tool in neoadjuvant treatment protocols. Laparoscopic ultrasound represents an important technical improvement in diagnostic laparoscopy. The main indication for diagnostic laparoscopy is therefore exact tumor staging, especially in terms of peritoneal, liver, and lymphatic tumor spread, whereas determination of local tumor resectability is not the main issue. The aim of the current review is to summarize the technique of staging laparoscopy and to discuss its clinical value for a variety of gastrointestinal malignancies.
Keywords
Biliary Tract Neoplasms/secondary, Cardia, Esophageal Neoplasms/pathology, Gastrointestinal Neoplasms/pathology, Gastrointestinal Neoplasms/surgery, Humans, Laparoscopy, Liver Neoplasms/secondary, Neoplasm Metastasis, Neoplasm Staging/methods, Pancreatic Neoplasms/pathology, Stomach Neoplasms/pathology
Pubmed
Web of science
Create date
11/12/2018 12:57
Last modification date
20/08/2019 15:16
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