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

Hariharan, Deepak; Constantinides, Vasilis; Froeling, Fieke E. M.; Tekkis, Paris; Kocher, Hemant M.

doi:10.1016/j.ejso.2010.05.015

Cited by 55 publications

(35 citation statements)

References 42 publications

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“…Until 2009, more than 146 laparoscopic pancreaticoduodenectomies (Lap PD) [8], 800 Lap DPs [2], and 101 tumor enucleations (Lap EN) [9] were performed worldwide. Moreover, laparoscopic approaches were also applied in many other aspects, including explorative laparoscopy for cancer staging [10], diagnostic laparoscopic biopsy, external and internal pancreatic drainage [11,12], and laparoscopic necrosectomy [13][14][15]. Of these applications, Lap DP was initially the fastest developed because of its relative technical simplicity.…”

Section: Historymentioning

confidence: 99%

Laparoscopic surgery for pancreatic lesions: current status and future

Zhang

Zhao

2011

Front. Med.

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Laparoscopic pancreatic surgery has been gaining increasing recognition in recent years, and its practice has increased despite its highly complex procedure and longer learning curve compared with surgeries for other abdominal organs. Laparoscopic distal pancreatectomy and tumor enucleation are two of the fastest-growing techniques and are currently in wide use because of their comparable technical simplicity. Literature review showed that laparoscopic distal pancreatectomy and enucleation are safe and efficient approaches for benign and low-degree malignant tumors; however, the indication for malignant tumors remains controversial. Laparoscopic pancreaticoduodenectomy is practiced in a limited number of surgical centers and presented as case reports or in small series. Although its feasibility was demonstrated by many surgeons, whether the laparoscopic procedure can achieve benefits comparable to or even more prominent than those of an open procedure has not been clinically proven. Prospective, randomized, controlled trials of laparoscopic operation versus open pancreatic surgery are necessary to justify the wide application and routine practice of the laparoscopic procedure for pancreatic lesions.

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Section: Historymentioning

confidence: 99%

Laparoscopic surgery for pancreatic lesions: current status and future

Zhang

Zhao

2011

Front. Med.

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“…Despite the recent improvements in imaging modality, a high proportion of patients with proximal BC still results non-resectable during surgical exploration [5]. Diagnostic laparoscopy (DL) has been proposed as an important tool to identify occult dissemination that can be missed on preoperative imaging and avoid unnecessary explorations [7]. Overall yield and accuracy of DL depend on the type of cancer.…”

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confidence: 99%

Role of laparoscopic ultrasound during diagnostic laparoscopy for proximal biliary cancers: a single series of 100 patients

et al. 2015

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“…Most of the studies include different types of hepatobiliary [15,16] or pancreatobiliary [9,14,24,25] malignancies, and there are few studies fo- …”

Section: Present and Future Of Sl In Hccamentioning

confidence: 99%

“…The concept of resectability in HCCA related to technical and oncologic variables has evolved with time and may vary from center to center [2,3,8,14] . It is beyond the scope of this article to determine or discuss the concept of resectability for HCCA, but as a general rule it is considered according to the criteria defined by the MSKCC group [1,15] .…”

Section: Findings and Resectabilitymentioning

confidence: 99%

Laparoscopic staging in hilar cholangiocarcinoma: Is it still justified?

Rotellar

Pardo²

2013

WJGO

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Radical resection remains the only potential curative therapy for hilar cholangiocarcinoma (HCCA). The aim of staging laparoscopic (SL) is to identify patients with previously undetected advanced disease who will not benefit from surgical palliation and therefore avoid unnecessary laparotomies. The accuracy of non-invasive imaging techniques has significantly improved during the last years. As a consequence, the diagnostic yield of SL of biliary tract malignancy should have decreased proportionally. At the same time, some authors have recently questioned the value of laparoscopic ultrasound (LUS) as a complement of SL. In this setting, the precise role of SL and LUS in the preoperative workup of HCCA remains unclear. As it seems undoubtedly clear that its efficacy has decreased in the last decades, there is a general consensus that the universal use of SL shouldn't be recommended anymore; SL should be performed only in selected patients with higher risk of holding unresectable disease (T2/T3 or Bismuth type 3/4 and patients with suspicion of metastases). It would also be recommended in patients with potentially resectable disease who would need preoperative invasive procedures. Finally, SL should be performed preceding laparotomy in one session. Further studies on the benefit of SL and LUS in this subset of HCCA patients are warranted.

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

Cited by 55 publications

References 42 publications

Laparoscopic surgery for pancreatic lesions: current status and future

Laparoscopic surgery for pancreatic lesions: current status and future

Role of laparoscopic ultrasound during diagnostic laparoscopy for proximal biliary cancers: a single series of 100 patients

Laparoscopic staging in hilar cholangiocarcinoma: Is it still justified?

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