Laparoscopic staging of intraabdominal malignancy

Laparoscopic visualization techniques have improved dramatically over the last 5 years and have led to reassessment of the laparoscope for use in the staging of intraabdominal malignancy. One hundred sixty-two consecutive cases undergoing preoperative staging laparoscopy from January 1988 to Decembe...

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Bibliographic Details
Published in:Surgical endoscopy 1995-03, Vol.9 (3), p.325-328
Main Authors: HEMMING, A. W, NAGY, A. G, SCUDAMORE, C. H, EDELMANN, K
Format: Article
Language:English
Subjects:
Abdominal Neoplasms - pathology
Aged
Biological and medical sciences
Digestive System - pathology
Digestive System Neoplasms - pathology
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopy - methods
Laparoscopy - statistics & numerical data
Laparotomy
Liver - pathology
Liver Neoplasms - pathology
Male
Medical sciences
Miscellaneous. Technology
Neoplasm Staging
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Preoperative Care
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Summary:Laparoscopic visualization techniques have improved dramatically over the last 5 years and have led to reassessment of the laparoscope for use in the staging of intraabdominal malignancy. One hundred sixty-two consecutive cases undergoing preoperative staging laparoscopy from January 1988 to December 1993 were reviewed in order to determine the value of laparoscopy as a staging tool. Indications for staging laparoscopy were predominantly hepatopancreaticobiliary (85%); however, other primaries such as stomach and colon were included. In 36% of cases information found at laparoscopy precluded resection and prevented unnecessary laparotomy. Additional information that was felt to be helpful in planning resection was found in 30% of cases. In 12% of cases unresectability was found only at the time of laparotomy and was missed by staging laparoscopy. We conclude that laparoscopy is a useful preoperative staging tool and can help avoid unnecessary laparotomy for intraabdominal malignancy in one-third of patients.
ISSN:0930-2794
1432-2218
DOI:10.1007/BF00187778