Laparoscopy/thoracoscopy for staging: I. Staging endoscopy in surgical oncology

Ra, Forse; Babineau, Timothy J.; Bleday, Ronald; Steele, Glenn

doi:10.1002/ssu.2980090110

Cited by 16 publications

(2 citation statements)

References 13 publications

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“…Thus, laparoscopy combined with laparoscopic ultrasonography was more specific and accurate in predicting tumor resectability than laparoscopy alone, and also in predicting the surgical resectability of patients with carcinomas of the pancreatic head and periampullary region [7,22]. Moreover, the average length of hospital stay for patients with a nonresectable hepatic tumor can be significantly reduced from 5.6 days for a laparotomy to 1.5 days for a laparoscopy [23]. The technique described in this study consists of a laparoscopic examination of the head, body, and tail of the pancreas through either a retroduodenal or an infragastric approach, combined with contact ultrasonography.…”

Section: Discussionmentioning

confidence: 98%

Preoperative Laparoscopic Examination Using Surgical Manipulation and Ultrasonography for Pancreatic Lesions

Ah¹,

Inui²,

Kamiyama³

2002

Endoscopy

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Section: Discussionmentioning

confidence: 98%

Preoperative Laparoscopic Examination Using Surgical Manipulation and Ultrasonography for Pancreatic Lesions

Ah¹,

Inui²,

Kamiyama³

2002

Endoscopy

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“…A second important goal would be to define more precisely those patients benefiting from liver resection, eliminating the vast majority who undergo surgical exploration only, or who recur despite having achieved adequate margins initially. The application of routine laparoscopic staging,11 and translaparoscopic ultrasound examination of the liver prior to full laparotomy for proposed resection may provide additional important staging opportunities 12,13…”

Section: Discussionmentioning

confidence: 99%

A prospective evaluation of hepatic resection for colorectal carcinoma metastases to the liver: Follow-up report

Steele

Mayer

Lindblad³

1995

J Hep Bil Pancr Surg

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Abstract:Single institution studies of hepatic resection have implied that some subsets of patients with metastases from colon and rectum adenocarcinoma can be cured by surgery. However, it is unknown how such patients can be selected and what, in fact, the ultimate cure rate is. The objective of this multi-institutional study was to define in a prospective manner how many patients predicted to have resectable liver metastases actually could undergo curative resection and what the disease-free and overall survival were. A prospec tive 15-institution treatment plan included all patients who were predicted to have resectable metastases from colon and rectum cancer primaries. Results were compared among patients who underwent successful resection, patients who underwent resection with pathologically defined inadequate margins, and patients who underwent exploration but were found at surgery not to have resectable liver metastases. Fourteen institutions throughout North America and one in Milan who were members of the Gastrointestinal Tumor Study Group at the inception of this protocol in July of 1984 participated in the study. The patient population consisted of all those with metachronous or synchronous metastases from colon or rectum adenocarcinoma seen during a consecutive 31 year period with protocol registry at the time liver metastases were predicted to be isolated and resectable. Intervention consisted of the application of standard preoperative screening tests, abdominaI exploration, and resection of all patients who had liver-only surgically resectable disease. The main outcome measures were: Accuracy of preoperative staging, acute and chronic operative morbidity, and disease-free, as well as overall, survival among the three treatment groups. The minimum follow up on all surviving patients after curative resection was 2.2 years, with a median follow up of 3.2 years. Median survival times for patients receiving curative and noncurative resections and for those receiving no resection were estimated to be 35.7, 21.2, and 16.5 months, respectively. No statistically significant difference in the survival distribution of the noncuratively resected Offprint requests to: G. Steele JrReceived for publication on Nov. 15, 1994; accepted on Dec. 7, 1994 or the non-resected patients was observed. The survival distribution of curatively resected patients remains statistically superior to the distribution of noncuratively resected patients and those receiving no resection (P = 0.01). These results confirmed that, although liver resection for hepatic metastases from colorectal car cinoma is safe to do and presently constitutes the only standard curative treatment for potentially resectable disease, it ultimately cures few patients.

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Prospective comparison of laparoscopy, ultrasonography and computed tomography in the staging of gastric cancer

Stell¹,

Carter²,

Stewart³

et al. 1996

Br. J. Surg.

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A total of 103 consecutive patients with gastric adenocarcinoma was assessed for intra-abdominal spread of malignancy using ultrasonography, computed tomography (CT) and laparoscopy under general anaesthesia. Histologically proven metastases were to the liver in 27 patients, lymph nodes in 49 and directly to peritoneum in 13. All modalities showed a high specificity (92-100 per cent) for each type of metastasis. Laparoscopy was more sensitive in detecting hepatic, nodal and peritoneal metastases; the relative performance of laparoscopy was best with regard to hepatic metastases. Ultrasonography and CT were particularly poor at detecting nodal and peritoneal metastases. There was no significant morbidity and no mortality associated with laparoscopy, which was more accurate in preoperative staging of gastric cancer than ultrasonography or CT.

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Laparoscopy/thoracoscopy for staging: I. Staging endoscopy in surgical oncology

Cited by 16 publications

References 13 publications

Preoperative Laparoscopic Examination Using Surgical Manipulation and Ultrasonography for Pancreatic Lesions

Preoperative Laparoscopic Examination Using Surgical Manipulation and Ultrasonography for Pancreatic Lesions

A prospective evaluation of hepatic resection for colorectal carcinoma metastases to the liver: Follow-up report

Prospective comparison of laparoscopy, ultrasonography and computed tomography in the staging of gastric cancer

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