Evolving Preoperative Evaluation of Patients with Pancreatic Cancer: Does Laparoscopy Have a Role in the Current Era?

Mayo, Skye C.; Austin, Donald F.; Sheppard, Brett C.; Mori, Motomi; Shipley, Donald K.; Billingsley, Kevin G.

doi:10.1016/j.jamcollsurg.2008.10.014

Cited by 83 publications

(47 citation statements)

References 29 publications

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“…Other recent studies showed similar results with high accuracy for the assessment of arterial invasion for CT and even for MRI using latest generation devices [10,25,26]. These improvements help to increase the rate of correct indications for and successful completions of open surgery with curative intent in pancreatic cancer patients [27]. However, despite the improvements of imaging in this respect, its remaining inaccuracy regarding arterial involvement demands surgical exploration, at least in equivocal cases, as this is still the gold standard in determining resectability.…”

Section: Arteriessupporting

confidence: 55%

Radiologic Resectability Assessment in Pancreatic Cancer

Denecke

Grieser

Bahra

2013

Fortschr Röntgenstr

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Complete tumor resection is still the only potentially curative therapy option for patients with ductal adenocarcinoma of the pancreas. Surgical exploration is the gold standard for the determination of tumor resectability. Radiological resectability assessment is of great importance because many clearly unresectable cases can be identified preoperatively and it became essential for surgical planning. The evolving surgical and radiological techniques demand a continuous reappraisal of radiological criteria in resectability assessment. In the following, the criteria for resection planning are described along with surgical management and the role of radiology in some innovative surgical concepts is explained. Citation Format:

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Section: Arteriessupporting

confidence: 55%

Radiologic Resectability Assessment in Pancreatic Cancer

Denecke

Grieser

Bahra

2013

Fortschr Röntgenstr

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“…Liu and Mayo (3,4) reported the finding of occult tumor during staging laparoscopy in 34% and 27.6% of the patients, respectively.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic ultrasound: a surgical �must� for second line intra-operative evaluation of pancreatic cancer resectability

Piccolboni¹,

Settembre²,

Angelini³

et al. 2015

GCHIR

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“…12 In patients who have large tumors, especially in the body and tail of the pancreas, as well other indications of advanced disease such as weight loss, an elevated level of carbohydrate antigen 19-9 (CA 19-9), ascites, or equivocal CT findings, a staging laparoscopy can accurately determine metastatic and vascular involvement. 13 CA 19-9 is the only biomarker with demonstrated clinical usefulness and is useful for therapeutic monitoring and early detection of recurrent disease after treatment in patients with known pancreatic cancer. 14e16 However, CA 19-9 is not a specific biomarker for pancreatic cancer; its level may be elevated in other conditions such as cholestasis.…”

Section: Discussionmentioning

confidence: 99%