Stomach cancer other diagnostic studies
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Staging laparoscopy
- Laparoscopy has the advantage of directly visualizing the liver surface, the peritoneum, and local lymph nodes.[1]
- Laparoscopy has the ability to perform peritoneal cytology. [2]
- Some trials suggest that all stage T3/4 patients diagnosed with US should undergo staging laparoscopy.[3]
- Diagnostic laparoscopy is especially important for patients who are being considered for neoadjuvant therapy trials.
References
- ↑ Feussner H, Omote K, Fink U, Walker SJ, Siewert JR (1999). "Pretherapeutic laparoscopic staging in advanced gastric carcinoma". Endoscopy. 31 (5): 342–7. doi:10.1055/s-1999-28. PMID 10433041.
- ↑ Watt I, Stewart I, Anderson D, Bell G, Anderson JR (1989). "Laparoscopy, ultrasound and computed tomography in cancer of the oesophagus and gastric cardia: a prospective comparison for detecting intra-abdominal metastases". Br J Surg. 76 (10): 1036–9. PMID 2532050.
- ↑ Power DG, Schattner MA, Gerdes H, Brenner B, Markowitz AJ, Capanu M; et al. (2009). "Endoscopic ultrasound can improve the selection for laparoscopy in patients with localized gastric cancer". J Am Coll Surg. 208 (2): 173–8. doi:10.1016/j.jamcollsurg.2008.10.022. PMID 19228527.