The value of staging laparoscopy in gastric cancer

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The value of staging laparoscopy in gastric cancer (EN)

Molmenti, Ernesto P.; Department of Surgery, North Shore University Hospital, Manhasset, New York, USA
Sotiropoulos, Georgios C.; 2nd Department of Propedeutic Surgery, National and Kapodistrian University of Athens, Medical School, General Hospital Laiko, Athens, Greece
Machairas, Nikolaos; 2nd Department of Propedeutic Surgery, National and Kapodistrian University of Athens, Medical School, General Hospital Laiko, Athens, Greece
Tsaparas, Peter; 2nd Department of Propedeutic Surgery, National and Kapodistrian University of Athens, Medical School, General Hospital Laiko, Athens, Greece
Kykalos, Stylianos; 2nd Department of Propedeutic Surgery, National and Kapodistrian University of Athens, Medical School, General Hospital Laiko, Athens, Greece
Stamopoulos, Paraskevas; 2nd Department of Propedeutic Surgery, National and Kapodistrian University of Athens, Medical School, General Hospital Laiko, Athens, Greece
Charalampoudis, Petros; 2nd Department of Propedeutic Surgery, National and Kapodistrian University of Athens, Medical School, General Hospital Laiko, Athens, Greece

Treatment options for patients with gastric cancer (GC) are based on tumor staging and resectability. Although only surgery provides improved survival, resection is contraindicated and should be avoided in the presence of intra-abdominal disease stage M1 (liver, peritoneal, or nonlocal lymph node metastases). Thus, a detailed and precise evaluation is imperative for optimal treatment. Staging laparoscopy (SL) constitutes a major tool in the accurate diagnosis of several types of cancers, including GC. SL presents several critical advantages: it can diagnose intraabdominal disease; serve as a complement to other imaging studies; allow for biopsies; facilitate intraoperative ultrasound evaluations; allow for sampling of peritoneal fluid for cytological examination; and serve as an option for the administration of intraperitoneal chemotherapy. Although considered and advocated as a very useful asset in the pre-treatment cancer-staging arsenal, the wider application of SL has been long debated. The purpose of our study was to evaluate the contribution of laparoscopy to GC staging.Keywords Gastric cancer, staging, laparoscopyAnn Gastroenterol 2017; 30 (3): 287-294 (EN)

Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Gastroenterologiki Company (EN)

2017-04-28


Annals of Gastroenterology (EN)

Annals of Gastroenterology; Volume 30, No 3 (2017); 287 (EN)



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