Laparoscopic staging in gastric cancer: An essential step in its management

Aim: The role of laparoscopy in staging of gastric cancer is widely accepted; however, in Malaysia its usage has been limited. Patients can be classified as resectable or unresectable, which helps in avoiding an unwanted laparotomy and the morbidities associated with it. The aim of this study was to...

Full description

Saved in:
Bibliographic Details
Published in:Journal of minimal access surgery 2010-10, Vol.6 (4), p.111-113
Main Authors: Mahadevan, D, Sudirman, A, Kandasami, P, Ramesh, G
Format: Article
Language:English
Subjects:
Cancer
Cancer therapies
Care and treatment
CT imaging
Diagnosis
Gastric cancer
Gastric cancer, laparoscopic staging
Health aspects
Histology
laparoscopic staging
Laparoscopic surgery
Laparoscopy
Medical imaging
Mortality
Original
Risk factors
Stomach cancer
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Aim: The role of laparoscopy in staging of gastric cancer is widely accepted; however, in Malaysia its usage has been limited. Patients can be classified as resectable or unresectable, which helps in avoiding an unwanted laparotomy and the morbidities associated with it. The aim of this study was to assess the value of laparoscopy in staging of gastric cancer in comparison with CT scan. Materials and Methods: Patients with carcinoma of the stomach after a complete preoperative work-up underwent laparoscopy prior to surgical exploration. TNM staging was used to compare laparoscopy with CT, with the histopathological report used as the gold standard. Results: Forty cases were included in this study. The sensitivity of laparoscopy for T3 tumours appears to be significant when compared to that of CT. Laparoscopy detected 90.3% of the cases as against the 58% detected with CT. There was not much difference in the N factor. With regard to M factor, the sensitivity was 100% for laparoscopy in comparison with CT. Conclusions: Laparoscopy has been shown to be sensitive in detecting metastasis in gastric cancer in comparison to CT, thus helping in avoiding unwanted laparotomy and thus providing a more systemic approach in managing gastric cancers.
ISSN:0972-9941
1998-3921
DOI:10.4103/0972-9941.72597