Peritoneoscopy in Carcinoma of the Pancreas: Report of 20 Cases

Meyer-Burg, J; Ziegler, Ulrich E.; Kirstaedter, H. J.; Palme, G

doi:10.1055/s-0028-1098218

Cited by 16 publications

(3 citation statements)

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“…4 The value of laparoscopy alone for diagnosis of pancreatic disease was described in the early 1970s. 5,6 And even though laparoscopic ultrasound (LUS) was described over 35 years ago, 7 it was not until the early 1990s that the application of intracorporeal ultrasound as an adjunct to standard laparoscopy allowed the use of minimally invasive staging of malignancies as a new diagnostic modality. [8][9][10] The minimally invasive surgeon is hampered by the loss of traditional tactile sensation.…”

Section: Diagnostic Laparoscopy and Staging Of Pancreatic Lesionsmentioning

confidence: 99%

“…19 Inspection and LUS imaging of the body and tail of the pancreas, as well as the mesenteric vessels and celiac lymph nodes, has traditionally been achieved via either a supra-or infragastric approach. 5,6,[20][21][22] The supragastric approach can be somewhat limited in obese patients and in those with lesser sac adhesions. The infragastric approach is somewhat more technically challenging, but is achievable in most patients.…”

Section: Diagnostic Laparoscopy and Staging Of Pancreatic Lesionsmentioning

confidence: 99%

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Current status of laparoscopic surgery of the pancreas

Underwood

Soper

1999

Journal of Hepato-Biliary-Pancreatic Surgery

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Laparoscopic surgery of the pancreas remains, other than for certain clear indications, primarily investigational. However, in the past few years, laparoscopic therapy for pancreatic diseases has made significant strides and will undoubtedly contribute increasingly to the care of the surgical patient with pancreatic disease. This review discusses the current status of minimally invasive surgical therapy of pancreatic diseases and reviews the current literature. There are four major areas of clinical and laboratory investigation, including diagnostic laparoscopy for staging of pancreatic cancer, laparoscopic palliation of unresectable pancreatic cancer, laparoscopic management of pancreatic pseudocyst, and laparoscopic partial pancreatectomy (pancreaticoduodenectomy, distal pancreatectomy, and enucleation for islet cell tumors). The increased sensitivity of staging laparoscopy with laparoscopic ultrasound as a staging modality in the diagnosis of previously unrecognized metastatic disease from pancreatic cancer is clearly the most utilitarian application of laparoscopic technology in this patient population. Additionally, a natural extension of staging laparoscopy with laparoscopic ultrasound is the ability to improve the quality of life for the patient with unresectable pancreatic cancer by palliating the biliary and gastrointestinal obstruction and the debilitating pain, without the need for and morbidity of open laparotomy. Laparoscopic internal drainage of pancreatic pseudocysts remains early in its development but appears to have potential benefit from application of minimal access techniques. And laparoscopic partial pancreatectomy, both pancreaticoduodenectomy, and, to a lesser degree, distal pancreatectomy, remain primarily investigational without clearly established benefits from the use of minimal access techniques.

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Section: Diagnostic Laparoscopy and Staging Of Pancreatic Lesionsmentioning

confidence: 99%

Section: Diagnostic Laparoscopy and Staging Of Pancreatic Lesionsmentioning

confidence: 99%

Current status of laparoscopic surgery of the pancreas

Underwood

Soper

1999

Journal of Hepato-Biliary-Pancreatic Surgery

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“…Our past experience with peritoneoscopy in both the initial staging and follow-up of patients with malignant lymphoma [2-41 and with ovarian cancer [5] suggested the potential utility of this tool for pancreatic tumors. The experience of Meyer-Burg et a1 [6] in surgically unexplored patients suggested that the pancreas could be visualized and biopsied and that the liver and abdominal contents could be examined for distant spread of tumor. We therefore embarked upon a study to evaluate its potential both for staging disease and for evaluating the results of therapy.…”

Section: Introductionmentioning

confidence: 99%

Role of peritoneoscopy in the postoperative evaluation and treatment of adenocarcinoma of the exocrine pancreas

Bender

Brereton

1979

Med. Pediatr. Oncol.

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Our experience with peritoneoscopy in the postoperative staging and evaluation of ten patients with locally unresectable adenocarcinoma of the exocrine pancreas is presented. In contrast to the German experience with previously unexplored patients, the pancreas was visualized only 30% of the time and biopsy was not possible for technical reasons. Based on our experience in these ten patients, postoperative peritoneoscopy for staging or for following the effectiveness of treatment is of limited value in carcinoma of the pancreas. Preoperative evaluation of this technique deserves greater attention.

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Diagnostic accuracy of laparoscopy following computed tomography (CT) scanning for assessing the resectability with curative intent in pancreatic and periampullary cancer

Allen

Gurusamy²,

Takwoingi³

et al. 2013

Cochrane Database of Systematic Reviews

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Citation: Allen VB, Gurusamy KS, Takwoingi Y, Kalia A, Davidson BR. Diagnostic accuracy of laparoscopy following computed tomography (CT) scanning for assessing the resectability with curative intent in pancreatic and periampullary cancer. Cochrane Database of Systematic Reviews 2016, Issue 7. A B S T R A C T BackgroundSurgical resection is the only potentially curative treatment for pancreatic and periampullary cancer. A considerable proportion of patients undergo unnecessary laparotomy because of underestimation of the extent of the cancer on computed tomography (CT) scanning. Laparoscopy can detect metastases not visualised on CT scanning, enabling better assessment of the spread of cancer (staging of cancer). This is an update to a previous Cochrane Review published in 2013 evaluating the role of diagnostic laparoscopy in assessing the resectability with curative intent in people with pancreatic and periampullary cancer. ObjectivesTo determine the diagnostic accuracy of diagnostic laparoscopy performed as an add-on test to CT scanning in the assessment of curative resectability in pancreatic and periampullary cancer. Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE via PubMed, EMBASE via OvidSP (from inception Selection criteriaWe included diagnostic accuracy studies of diagnostic laparoscopy in people with potentially resectable pancreatic and periampullary cancer on CT scan, where confirmation of liver or peritoneal involvement was by histopathological examination of suspicious (liver or peritoneal) lesions obtained at diagnostic laparoscopy or laparotomy. We accepted any criteria of resectability used in the studies. We included studies irrespective of language, publication status, or study design (prospective or retrospective). We excluded case-control studies.1 Diagnostic accuracy of laparoscopy following computed tomography (CT) scanning for assessing the resectability with curative intent in pancreatic and periampullary cancer (Review)

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Peritoneoscopy in Carcinoma of the Pancreas: Report of 20 Cases

Abstract: Our experience concerning the contribution of laparoscopy in diagnosing 20 carcinomas of the pancreas is presented.

Cited by 16 publications

References 0 publications

Current status of laparoscopic surgery of the pancreas

Current status of laparoscopic surgery of the pancreas

Role of peritoneoscopy in the postoperative evaluation and treatment of adenocarcinoma of the exocrine pancreas

Diagnostic accuracy of laparoscopy following computed tomography (CT) scanning for assessing the resectability with curative intent in pancreatic and periampullary cancer

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