Pancreatic Cancer. Laparoscopic Staging and Peritoneal Cytology

Overview

Journal Surg Oncol Clin N Am

Specialties General Surgery
Oncology

Date 1998 Mar 7

PMID 9443991

Citations 8

Authors

A L Warshaw

Affiliations

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Abstract

Laparoscopy is an indispensable study if precise preoperative staging for pancreatic cancer is required. It will identify liver, peritoneal, or omental implants in 22% to 48% of patients who have no other evidence of disseminated disease by CT. Performing peritoneal washings at the time of laparoscopy will disclose an additional 8% of patients with micro metastases and who have an equally poor prognosis as those with visible metastases.

Citing Articles

Diagnostic accuracy of laparoscopy following computed tomography (CT) scanning for assessing the resectability with curative intent in pancreatic and periampullary cancer.

Allen V, Gurusamy K, Takwoingi Y, Kalia A, Davidson B Cochrane Database Syst Rev. 2016; 7:CD009323.

PMID: 27383694 PMC: 6458011. DOI: 10.1002/14651858.CD009323.pub3.

Indications for staging laparoscopy in pancreatic cancer.

De Rosa A, Cameron I, Gomez D HPB (Oxford). 2016; 18(1):13-20.

PMID: 26776846 PMC: 4750228. DOI: 10.1016/j.hpb.2015.10.004.

Palliative surgical management of patients with unresectable pancreatic adenocarcinoma: trends and lessons learned from a large, single institution experience.

Kneuertz P, Cunningham S, Cameron J, Torrez S, Tapazoglou N, Herman J J Gastrointest Surg. 2011; 15(11):1917-27.

PMID: 21913044 PMC: 3578347. DOI: 10.1007/s11605-011-1665-9.

Controversies in the management of borderline resectable proximal pancreatic adenocarcinoma with vascular involvement.

Tucker O, Rela M HPB Surg. 2009; 2008:839503.

PMID: 19283083 PMC: 2654339. DOI: 10.1155/2008/839503.

The role of staging laparoscopy for intraabdominal cancers: an evidence-based review.

Chang L, Stefanidis D, Richardson W, Earle D, Fanelli R Surg Endosc. 2008; 23(2):231-41.

PMID: 18813972 DOI: 10.1007/s00464-008-0099-2.