Can routine laparoscopy help to reduce the rate of explorative laparotomies for gastric cancer? Laparoscopy in gastric cancer

Gian Carlo Roviaro, Federico Varoli, Davide Sonnino, Ombretta Nucca, Gianni Rabughino, Alessandro Scarduelli

Research output: Contribution to journalArticlepeer-review

Abstract

1. Background. We developed this surgical protocol about performing intraoperative laparoscopy for staging in every patient affected by stomach cancer. Sensitivity and specificity of intraoperative laparoscopy are compared with conventional preoperative staging techniques. 2. Methods. From January 1994 to June 1999, 83 patients affected by stomach cancer were accepted in our department: 12 patients (14.5%) were excluded from our study after the preoperative staging; in 71 patients (85.5%) an explorative laparoscopy as the first step of the operation was performed. 3. Results. Laparoscopy confirmed preoperative staging in 53 cases (74.6%), in 12 patients demonstrated an overstaging. Laparoscopy demonstrated in 6 patients unsuspected causes of unresectability. 4. Conclusions. When performed in patients affected by malignant neoplasm and declared resectable, intraoperative laparoscopy can demonstrate conditions not detectable by traditional preoperative investigations, consequently reducing to zero explorative laparotomies.

Original languageEnglish
Pages (from-to)125-131
Number of pages7
JournalDiagnostic and Therapeutic Endoscopy
Volume6
Issue number3
Publication statusPublished - 2000

Keywords

  • Explorative laparotomy
  • Gastric cancer
  • Laparoscopy
  • Staging of cancer

ASJC Scopus subject areas

  • Medicine(all)

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