Role of laparoscopic ultrasonography in the management of patients with oesophagogastric cancer

Abstract

Laparoscopy alone prevented unnecessary surgery in 18 (19 per cent) of 93 patients with oesophagogastric cancer and the addition of lapUS identified a further seven patients (8 per cent) in whom unnecessary surgery was avoided.

The role of echo-laparoscopy in abdominal surgery: five years’ experience in a dedicated center

“…Smith et al [22] in 1999 published a study in which he showed that the use of laparoscopy could avoid unnecessary open surgery in 19% of patients with esophagogastric cancer and LIOUS further identified 8% of nonresectable patients in whom unnecessary surgery was avoided. LIOUS helped in establishing the T stage of the tumor and the regional, celiac, and hepatic pedicle lymph nodes (N stage), and the liver was scanned for metastases, thus providing a sharp classification of tumor extension.…”

Usefulness of Diagnostic Laparoscopy Over Cect Abdomen in Assessing Operability in Gastrointestinal Malignancy

“…Earlier prospective study found that staging laparoscopy in oesophageal and gastric cancer patients reduced the rate of needless laparotomy from 25% to 12%. [23] The addition of laparoscopic ultrasound further reduced this rate to 9%.…”

Combined preoperative endoscopic and laparoscopic ultrasonography for prediction of R0 resection in upper gastrointestinal tract cancer

“…The majority of UGIC imaging and treatment evaluations have been based on computed tomography (CT), but CT has limited value in locoregional staging and in the detection of carcinosis and superficial and small lesions in the liver 1,2 . The introduction of endoscopic ultrasonography (EUS) and EUS-guided fine-needle aspiration biopsy (EUS-FNA) has improved the accuracy of locoregional staging 3 -6 , but for technical reasons EUS is limited in the identification of distant metastases.…”