Improved tumor-staging by using diagnostic laparoscopy

A systematic review of the accuracy and indications for diagnostic laparoscopy prior to curative-intent resection of gastric cancer

“…Twelve studies were prospective [11, 13-16, 18, 19, 22-24, 29, 30] and nine were retrospective [10,12,17,20,21,[25][26][27][28]. Pooled data, in nine studies that included either gastric and esophagogastric cases [12,17,20,23,26,27] or a combination of upper gastrointestinal malignancies [10,16,29], required data extraction specific to gastric adenocarcinoma.…”

“…Early gastric cancers (T1 and T2) were included in ten studies [14, 16-18, 20, 21, 23, 24, 26, 30]. The tumor stage was not defined in seven studies [10,12,13,22,25,27,29]; however, all cases included were considered curative based on preoperative imaging.…”

Therapie gastroenterologischer Krankheiten

“…Schwere Komplikationen treten in 0,15-2,32% auf mit einer Letalität von 0,06-0,5% [Adamek 1996;Arnold 1999;Henning 1985].Die Komplikationsrate der internistischen Laparoskopie liegen damit deutlich unter der der chirurgischen explorativen Laparotomie. Schwere Komplikationen treten in 0,15-2,32% auf mit einer Letalität von 0,06-0,5% [Adamek 1996;Arnold 1999;Henning 1985].Die Komplikationsrate der internistischen Laparoskopie liegen damit deutlich unter der der chirurgischen explorativen Laparotomie.…”

Submillimeter-Resolution Fluorescence Laparoscopy of Pancreatic Cancer in a Carcinomatosis Mouse Model Visualizes Metastases Not Seen with Standard Laparoscopy

“…Studies examining its accuracy in predicting the resectability of peripancreatic tumors have revealed false-negative rates of 18%-26%. 3,4 To minimize these rates, efforts to systematically improve visualization and identification of tumor deposits are needed.…”