Laparoscopy and laparotomy in staging Hodgkin's and non Hodgkin's lymphoma

U. Veronesi, P. Spinelli, G. Bonadonna, L. Gennari, E. Bajetta, G. Beretta, G. Tancini

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The use of laparotomy with splenectomy and multiple tissue biopsies has resulted in increasingly accurate staging of Hodgkin's and non Hodgkin's lymphoma. The data accumulated at the National Cancer Institute of Milan on 550 laparosplenectomies confirm this assumption. However, this surgical approach is accompanied by a mortality rate of 0.5 to 2% according to various reports and by a rather significant morbidity. In addition, late infectious complications can occur, such as varicella zoster. Finally, therapy cannot be started until 2 to 4 wk after surgery. For these reasons, it is important to differentiate those patients for whom adequate information on staging may be obtained only by laparosplenectomy and those for whom laparoscopy may be sufficient. Laparoscopy can detect liver and splenic involvement in some patients with Hodgkin's lymphoma, sparing them laparotomy. However, because of the high false negative rate, laparotomy is still required when findings are negative. In patients with non Hodgkin's lymphoma, laparoscopy has a much lower false negative rate. Thus with further technical improvements, it is likely to replace laparotomy as a main staging procedure for patients with non Hodgkin's lymphoma.

Original languageEnglish
Pages (from-to)501-503
Number of pages3
JournalAmerican Journal of Roentgenology
Volume127
Issue number3
Publication statusPublished - 1976

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Hodgkin Disease
Laparoscopy
Non-Hodgkin's Lymphoma
Laparotomy
Chickenpox
National Cancer Institute (U.S.)
Herpes Zoster
Splenectomy
Morbidity
Biopsy
Mortality
Liver
Therapeutics

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Veronesi, U., Spinelli, P., Bonadonna, G., Gennari, L., Bajetta, E., Beretta, G., & Tancini, G. (1976). Laparoscopy and laparotomy in staging Hodgkin's and non Hodgkin's lymphoma. American Journal of Roentgenology, 127(3), 501-503.

Laparoscopy and laparotomy in staging Hodgkin's and non Hodgkin's lymphoma. / Veronesi, U.; Spinelli, P.; Bonadonna, G.; Gennari, L.; Bajetta, E.; Beretta, G.; Tancini, G.

In: American Journal of Roentgenology, Vol. 127, No. 3, 1976, p. 501-503.

Research output: Contribution to journalArticle

Veronesi, U, Spinelli, P, Bonadonna, G, Gennari, L, Bajetta, E, Beretta, G & Tancini, G 1976, 'Laparoscopy and laparotomy in staging Hodgkin's and non Hodgkin's lymphoma', American Journal of Roentgenology, vol. 127, no. 3, pp. 501-503.
Veronesi U, Spinelli P, Bonadonna G, Gennari L, Bajetta E, Beretta G et al. Laparoscopy and laparotomy in staging Hodgkin's and non Hodgkin's lymphoma. American Journal of Roentgenology. 1976;127(3):501-503.
Veronesi, U. ; Spinelli, P. ; Bonadonna, G. ; Gennari, L. ; Bajetta, E. ; Beretta, G. ; Tancini, G. / Laparoscopy and laparotomy in staging Hodgkin's and non Hodgkin's lymphoma. In: American Journal of Roentgenology. 1976 ; Vol. 127, No. 3. pp. 501-503.
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