Laparoscopy in abdominal staging of esophageal carcinoma

Dagnini, G; Caldironi, M. W.; Marin, G.; Buzzaccarini, O.; Tremolada, Carlo; Ruol, Alberto

doi:10.1016/s0016-5107(86)71920-2

Cited by 94 publications

(30 citation statements)

References 4 publications

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“…In Japan, where more than 60% of the gastric cancers diagnosed are early tumors, staging laparoscopy remains very rare. By contrast, advanced disease precluding curative surgical resection undetected by preoperative CT has been described in 2%-37% of patients in the Western world [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37]. The reported overall accuracy of the perceived preoperative stage of gastric cancer, as determined by laparoscopy allied to CT, ranges from 83% to 98%, with alterations in management described in 6%-42% of patients.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopy significantly improves the perceived preoperative stage of gastric cancer

et al. 2003

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Despite the introduction of open access gastroscopy, as many as one in three British patients continue to present with advanced disease that is incurable by means of surgery [2,3]. Thorough and accurate staging of patients is of paramount importance in the selection of patients for whom surgery could be potentially curative [4].The recent large regional audit of esophagogastric cancer in Wales revealed that many surgeons continue to undertake small caseloads; staging laparoscopy was performed in 16% of cases; and no fewer than 23% of patients underwent open-and-close operations [3]. Staging protocols for patients with gastric cancer vary, not only from hospital to hospital within the United Kingdom, but from east to west worldwide. While computed tomography (CT) remains the most widely used imaging technique for the preoperative staging of patients with gastric cancer, this modality is limited in its ability to detect local invasion and lymph node metastases [5][6][7][8]. Moreover, we have already shown that specialized radiological support improves the perceived preoperative stage of gastric cancer and reduces the rate of open-and-shut laparotomy [9].Although routine laparoscopy is now advocated in the preoperative staging of gastric cancer [4], there are discrepant results in the literature as to the clinical value of this procedure [10]. The aims of this study therefore, were to compare the perceived preoperative stage of gastric cancer as determined by CT and laparoscopy, and to compare this perceived stage with the final true histopathological stage. It was our hypothesis that laparoscopy would improve the accuracy of our preoperative staging process. Patients and methods Between

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Section: Discussionmentioning

confidence: 99%

Laparoscopy significantly improves the perceived preoperative stage of gastric cancer

et al. 2003

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“…In a large series of 369 patients with carcinoma of the eso phagus and the gastric cardia, Dagini et al [12] demonstrated intraabdominal métastasés in 23.7% of 250 patients. Subse quent laparotomy revealed a false-negative result in only 4.4% of the cases.…”

Section: Diagnostic Laparoscopymentioning

confidence: 98%

Diagnostic and Operative Laparoscopy in Oncology

Schlag¹,

Rau²

1994

Oncol Res Treat

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In malignant disease diagnostic laparoscopy is a sensitive technique for diagnosis and staging of intraabdominal tumors. Laparoscopy is particularly valuable for the detection of peritoneal carcinosis and small liver metastases. Increasing interest is also addressed to the use of laparoscopic procedures in surgical oncology. While minimal access surgery is apparently useful for palliative procedures, e.g. gastrostomy, there is much controversy about the feasibility of curative procedures. Presently there is only limited experience with laparoscopic colon resections for colon cancer. This technically complex procedure can result in serious complications. A conversion rate of up to 40% has been reported in the literature. Presently there are no long-term results available confirming the superiority of laparoscopic surgery with respect to survival. Consequently, this technique should be used with caution for the management of carefully selected patients.

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“…In an early study involving 369 patients with cancer of the esophagus and cardia, laparoscopy revealed metastatic disease in 52 patients [15]. The rate of false-negative findings in the patients undergoing subsequent laparotomy (n = 250) was 4%.…”

Section: Literature Reviewmentioning

confidence: 99%

The Importance of Staging Laparoscopy for the Treatment of Gastric Cancer

Schlag¹,

Rau²

1998

Oncol Res Treat

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Staging laparoscopy is a safe and efficient technique for staging of gastrointestinal cancer. Given the remarkable therapeutic relevance and the low morbidity associated with this technique, it seems justified to perform staging laparoscopy in patients with nonobstructed, nonbleeding advanced gastric cancer. Laparoscopy can avoid the hazards of unnecessary exploratory laparotomy in asymptomatic patients. Laparoscopy and laparoscopic ultrasound appear to be superior to other preoperative imaging modalities. Accurate evaluation of neo-adjuvant therapy protocols clearly necessitates precise staging to warrant a valuable assessment of the efficacy of the protocol. We provide an overview on the recent experience with laparoscopy in the staging of patients with gastric cancer on the basis of our own experience in comparison to reports in the literature.

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Laparoscopy in abdominal staging of esophageal carcinoma

Cited by 94 publications

References 4 publications

Laparoscopy significantly improves the perceived preoperative stage of gastric cancer

Laparoscopy significantly improves the perceived preoperative stage of gastric cancer

Diagnostic and Operative Laparoscopy in Oncology

The Importance of Staging Laparoscopy for the Treatment of Gastric Cancer

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