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PubMed · 7597607

Laparoscopic staging of intraabdominal malignancy.

A W Hemming·A G Nagy·C H Scudamore·K Edelmann
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Abstract

Laparoscopic visualization techniques have improved dramatically over the last 5 years and have led to reassessment of the laparoscope for use in the staging of intraabdominal malignancy. One hundred sixty-two consecutive cases undergoing preoperative staging laparoscopy from January 1988 to December 1993 were reviewed in order to determine the value of laparoscopy as a staging tool. Indications for staging laparoscopy were predominantly hepatopancreaticobiliary (85%); however, other primaries such as stomach and colon were included. In 36% of cases information found at laparoscopy precluded resection and prevented unnecessary laparotomy. Additional information that was felt to be helpful in planning resection was found in 30% of cases. In 12% of cases unresectability was found only at the time of laparotomy and was missed by staging laparoscopy. We conclude that laparoscopy is a useful preoperative staging tool and can help avoid unnecessary laparotomy for intraabdominal malignancy in one-third of patients.

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Abdominal NeoplasmsAgedDigestive SystemDigestive System NeoplasmsFemaleHumansLaparoscopyLaparotomyLiverLiver NeoplasmsMaleNeoplasm StagingPreoperative CareJournal Article

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A W Hemming, A G Nagy, C H Scudamore, K Edelmann. 1995. Laparoscopic staging of intraabdominal malignancy.. https://doi.org/10.1007/bf00187778

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