Stomach cancer other diagnostic studies
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]
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Overview
Laparoscopy has the advantage of directly visualizing the liver surface, the peritoneum, and local lymph nodes. Diagnostic laparoscopy is especially important for patients who are being considered for neoadjuvant therapy trials.
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 ultrasound should undergo staging laparoscopy.[3]
- Diagnostic laparoscopy is especially important for patients who are being considered for neoadjuvant therapy trials.
Video shows staging laparoscopy of gastric cancer
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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.