The Impact of Laparoscopy and Laparoscopic Ultrasonography on the Management of Pancreatic Cancer

Schächter, Pinhas; Avni, Yona; Shimonov, Mordechai; Gvirtz, Gabriela; Rosen, Ada; Czerniak, Abraham

doi:10.1001/archsurg.135.11.1303

Cited by 42 publications

(36 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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)

View full text Add to dashboard Cite

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)

View full text Add to dashboard Cite

“…Several authors have demonstrated that laparoscopy is both safe and feasible to better assess resectability in pancreatic cancer patients before resorting to an open resective procedure, especially when associated with laparoscopic ultrasound [12,13,14,15,16,17,18]. Moreover, other authors have reported that such an approach can be adopted on a routine basis [19,20,21,22,23]. …”

Section: Discussionmentioning

confidence: 99%

“…The role of laparoscopy and laparoscopic US in staging pancreatic cancer is well established [12,13,14,15,16,17,18], and the procedure is considered routine before exploratory laparotomy for pancreatic resection by several high-volume centers [19,20,21,22,23]. …”

Section: Introductionmentioning

confidence: 99%

The Role of Laparoscopy in Advanced Pancreatic Cancer Diagnosis

et al. 2007

View full text Add to dashboard Cite

Background/Aims: Histological diagnosis between ductal and endocrine carcinoma is imperative in patients with advanced and unresectable pancreatic malignancies because of the different treatment modalities and prognoses. Whenever percutaneous and endoscopic ultrasound-guided pancreatic fine needle aspiration (FNA) fails to obtain a diagnostic specimen, a laparoscopic approach may be employed. Methods: Between October 2002 and July 2004, 19 patients with demonstrated unresectable pancreatic cancer underwent laparoscopy to obtain a cytohistological diagnosis. Results: The mean operative time was 83 min. Laparoscopy showed the presence of liver metastases in 15 patients that were correctly diagnosed by preoperative imaging in only 8 cases (53%). Overall 5 pancreatic FNA and 16 liver and peritoneal biopsies were obtained. In 1 patient the procedure was abandoned due to hypercapnia. In 16 patients (84%) a cytohistological diagnosis was obtained. There were no mortalities. Conclusions: Laparoscopic biopsy of advanced unresectable pancreatic cancer is a feasible, safe and reliable procedure to obtain a cytohistological diagnosis whenever ultrasound-guided FNA fails.

show abstract

“…Study by Schachter and Colleagues demonstrated a change in surgical intervention in 36% of patients with avoidance of unnecessary laparotomy in 31%. [27] Similarly, cytological examination of peritoneal washing obtained at the time of laparoscopy has been suggested to enhance the sensitivity of staging laparoscopy. [28] Till date accurate staging for hepatobiliary malignancy is important, as there is no role for laparotomy or palliative surgery in the presence of metastatic disease.…”

Section: Gimentioning

confidence: 99%

Usefulness of Diagnostic Laparoscopy Over Cect Abdomen in Assessing Operability in Gastrointestinal Malignancy

Mishra¹,

Mohanty²,

Kar³

et al. 2016

jemds

View full text Add to dashboard Cite

BACKGROUNDNew advancement in CT scan has greatly helped the surgeons in accurately staging gastrointestinal malignancies and planning its treatment protocols. In this era of minimal invasive surgery, direct vision of the intraabdominal malignancies taking FNAC or biopsy of tumour and assessing its operability can avoid some of the shortcomings of CECT abdomen. It may further help in modifying the treatment protocol for a particular patient if the CECT finding does not match with that of biopsy report or direct laparoscopic assessment of tumour. Here the aim of the study was to find out the overall accuracy of diagnostic laparoscopy abdomen in assessing the operability in cases of gastrointestinal malignancies.

show abstract

The Impact of Laparoscopy and Laparoscopic Ultrasonography on the Management of Pancreatic Cancer

Cited by 42 publications

References 22 publications

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

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

The Role of Laparoscopy in Advanced Pancreatic Cancer Diagnosis

Usefulness of Diagnostic Laparoscopy Over Cect Abdomen in Assessing Operability in Gastrointestinal Malignancy

Contact Info

Product

Resources

About