Staging of pancreatic and ampullary cancers for resectability using laparoscopy with laparoscopic ultrasound

Menack, Michael J.; Spitz, Jonathan D.; Arregui, Maurice E.

doi:10.1007/s00464-001-0030-6

Cited by 53 publications

(34 citation statements)

References 12 publications

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“…Menack (9) reported that in 26% of the patients laparoscopy defined unresectable disease and LUS further identified three non resectable patients (portal vein oc- Zhao (11) reported avoidance of laparotomy in 5 patients, out of 22, with laparoscopy and LUS.…”

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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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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“…With laparoscopic staging, the possibility of radical pancreatic resections was excluded in 24.3% and 26% of the patients in two studies [2,15]. The addition of LIOUS excluded an additional 11.1% of the candidates and increased sensitivity to 100% [2].…”

Section: Discussionmentioning

confidence: 99%

“…The addition of LIOUS excluded an additional 11.1% of the candidates and increased sensitivity to 100% [2]. Other authors [16] have reported evaluation of the resectability of pancreatic cancer with a sensitivity of 90% for CT, 77% for endoscopic ultrasound, and 78% for LIOUS.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic intra-operative ultrasound in liver and pancreas resection: Analysis of 93 cases

Piccolboni

Ciccone

Settembre

et al. 2010

Journal of Ultrasound

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KEYWORDSLiver surgery; Pancreas surgery; Laparoscopic ultrasound.Abstract Introduction: Laparoscopic inspection before pancreatic and liver surgery is a widely accepted approach and has changed the surgical strategy in a growing number of patients for the last 10 years. The addition of intra-operative ultrasound to laparoscopy has further refined surgical judgments. The aim of this study was to evaluate the impact of open (IOUS) or laparoscopic (LIOUS) ultrasound in patients undergoing hepatic or pancreatic resection for benign or malignant lesions. Materials and methods: In the years 2005e2008, 45 patients (aged 42e75 years) were selected for liver resection, and 48 others (aged 14e72 years) were selected for partial pancreatic resection. Intra-operative ultrasound was performed for surgical staging. An Aloka SSD-5500 scanner (Aloka, Tokyo, Japan) was used with a flexible laparoscopic multifrequency linear and an electronic T-shaped linear probe. Results: LIOUS prevented useless laparotomies in six patients (13.3%) with liver tumors and, coupled with IOUS, revealed previously undetected tumors that required a change in the surgical strategy in 5 others (11.1%). In patients with pancreatic disease, LIOUS excluded the possibility of radical surgery in 7 patients (14.4%) due to the presence of mesenteric vein infiltration, involvement of the celiac or para-aortic nodes, or the presence of liver or peritoneal micro-metastases. In 11 patients with benign lesions, it defined the lesions' relation to the Wirsung duct and splenic vessels, and in 6 others it provided guidance for aspiration of fluid for chemical and cytologic analysis. Conclusions: LIUOS and IOUS can play fundamental roles in selecting patients for resective surgery and in planning the surgical approach. They provided information that affected surgical strategies in 11 patients with liver disease (24.4%) and 13 with pancreas disease (27%).Sommario Introduzione: L'ispezione laparoscopica in chirurgia del pancreas o del fegato è un approccio ampiamente utilizzato. L'aggiunta dell'ecografia intra-operatoria alla laparoscopia ha di recente ulteriormente migliorato la valutazione chirurgica. Lo scopo di questo studio è stato di valutare l'impatto dell'ecografia intra-operatoria open (IOUS) o laparoscopica (LIOUS) in chirurgia del fegato e del pancreas. pancreas. L'ecografia intra-operatoria è stata effettuata per mezzo di un apparecchio Aloka SSD-550 (Aloka, Tokyo, Giappone), con sonda lineare laparoscopica a punta flessibile e sonda elettronica lineare a T. Risultati: Tra i pazienti epatici, la LIOUS ha evitato inutili laparotomie in sei pazienti (13,3%) ed, insieme alla IOUS, ha consentito di trovare noduli non diagnosticati ed ha cambiato la strategia chirurgica in cinque pazienti (11,1%). Nel gruppo pancreas, la LIOUS ha escluso 7 pazienti (14,4%) dalla chirurgia radicale, per infiltrazione della vena mesenterica, coinvolgimento dei linfonodi celici o para-aortici, micro-metastasi epatiche e peritoneali. In 11 lesioni benigne, ha consentito la definizion...

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“…80% of articles extracted were review articles, whilst the remaining did not assess SL/LUS as staging modality. Of the remaining 41 articles, 12 studies did not satisfy the eligibility criteria; 22 were for potentially resectable PPC and 7 for PBC [10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37] (Supplemental information, Table ST1 to attain pneumoperitoneum and were therefore excluded from our analysis. Therefore, a total of 2,827 patients with PPC and 478 patients with PBC, deemed potentially resectable on preoperative staging, were included for analysis.…”

Section: Resultsmentioning

confidence: 99%

The role of laparoscopy and laparoscopic ultrasound in the preoperative staging of pancreatico-biliary cancers – A meta-analysis

Hariharan

Constantinides

Froeling

et al. 2010

European Journal of Surgical Oncology (EJSO)

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Staging of pancreatic and ampullary cancers for resectability using laparoscopy with laparoscopic ultrasound

Abstract: LS can effectively stage most patients and reliably predict which of them will benefit from LA. Intervention for unresectable patients can then be limited to laparoscopic or endoscopic bypass. The main limitation is that LS may underestimate PV and regional lymph node involvement.

Cited by 53 publications

References 12 publications

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

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

Laparoscopic intra-operative ultrasound in liver and pancreas resection: Analysis of 93 cases

The role of laparoscopy and laparoscopic ultrasound in the preoperative staging of pancreatico-biliary cancers – A meta-analysis

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