Staging laparoscopy leads to rapid induction of chemotherapy for unresectable pancreatobiliary cancers

Preoperatively evaluating the resectability of pancreatobiliary cancers is difficult. The aim of this study was to investigate the benefit of staging laparoscopy in unresectable pancreatobiliary cancers. Between 2010 and 2013, 25 patients with pancreatobiliary cancers underwent staging laparoscopy a...

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Bibliographic Details
Published in:Asian journal of endoscopic surgery 2015-02, Vol.8 (1), p.59-62
Main Authors: Hashimoto, Daisuke, Chikamoto, Akira, Sakata, Kazuya, Nakagawa, Shigeki, Hayashi, Hiromitsu, Ohmuraya, Masaki, Hirota, Masahiko, Yoshida, Naoya, Beppu, Toru, Baba, Hideo
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Antineoplastic Agents - therapeutic use
Bile duct cancer
Bile Duct Neoplasms - diagnosis
Bile Duct Neoplasms - drug therapy
Bile Duct Neoplasms - surgery
Chemotherapy
Female
Follow-Up Studies
Humans
Induction Chemotherapy - methods
Laparoscopy
Laparoscopy - methods
Male
Middle Aged
Neoplasm Staging
Palliative Care - methods
Pancreatectomy - methods
pancreatic cancer
Pancreatic Neoplasms - diagnosis
Pancreatic Neoplasms - drug therapy
Pancreatic Neoplasms - surgery
Prognosis
Retrospective Studies
staging laparoscopy
Tomography, X-Ray Computed
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Summary:Preoperatively evaluating the resectability of pancreatobiliary cancers is difficult. The aim of this study was to investigate the benefit of staging laparoscopy in unresectable pancreatobiliary cancers. Between 2010 and 2013, 25 patients with pancreatobiliary cancers underwent staging laparoscopy after conventional tumor staging; they were compared with 10 patients who had unresectable or metastatic tumors that were found during laparotomy. Staging laparoscopy did not show unresectable factors in 11 patients, and resections were performed in these patients. Unresectable factors were found in other 14 patients who underwent staging laparoscopy. In these patients, chemotherapy was started after median postoperative day 3 (range, 2–10 days). This period was significantly longer in patients who received unnecessary laparotomy; chemotherapy was started after median postoperative day 11 (range, 6–15 days). These results suggest that staging laparoscopy, while avoiding laparotomy with unsuccessful resection, can lead to rapid induction of chemotherapy for unresectable pancreatobiliary cancers.
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.12138