The role of diagnostic laparoscopy in the management of patients with gastric cancer

Gastric cancer continues to be a leading cause of cancer death. The treatment approach varies, and preoperative staging is therefore crucial since an exploratory laparotomy for unresectable gastric cancer will be followed by an unacceptably high morbidity and mortality rate. To assess the added valu...

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Bibliographic Details
Published in:The Israel Medical Association journal 2010-12, Vol.12 (12), p.726-728
Main Authors: Kapiev, Andronik, Rabin, Igor, Lavy, Ron, Chikman, Bar, Shapira, Zahar, Kais, Hasan, Poluksht, Natan, Amsalam, Yaron, Halpern, Zvi, Markon, Ilia, Wassermann, Ilan, Halevy, Ariel
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Female
Gastrointestinal Tract - diagnostic imaging
Gastrointestinal Tract - surgery
Humans
Laparoscopy - methods
Male
Middle Aged
Retrospective Studies
Stomach Neoplasms - diagnosis
Stomach Neoplasms - diagnostic imaging
Stomach Neoplasms - surgery
Tomography, X-Ray Computed
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Summary:Gastric cancer continues to be a leading cause of cancer death. The treatment approach varies, and preoperative staging is therefore crucial since an exploratory laparotomy for unresectable gastric cancer will be followed by an unacceptably high morbidity and mortality rate. To assess the added value of diagnostic laparoscopy to conventional methods of diagnosis such as computed tomography in avoiding unnecessary laparotomies. We conducted a retrospective study on 78 patients scheduled for curative gastrectomy based on CT staging. DL was performed prior to exploratory laparotomy. In 23 of 78 patients (29.5%) unexpected peritoneal spread not detected on preoperative CT was found. Fifty-five patients underwent radical gastrectomy, 15 patients were referred for downstaging and 8 patients underwent a palliative procedure. Based on our results, DL should be considered in all gastric cancer patients scheduled for curative gastrectomy.
ISSN:1565-1088