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Selection of locally advanced gastric carcinoma by preoperative staging laparoscopy

D'UGO, D. M ; PERSIANI, R ; CARACCIOLO, F ; RONCONI, P ; COCO, C ; PICCIOCCHI, A

Surgical endoscopy, 1997-12, Vol.11 (12), p.1159-1162 [Periódico revisado por pares]

New York, NY: Springer

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Título:
Selection of locally advanced gastric carcinoma by preoperative staging laparoscopy
Autor: D'UGO, D. M ; PERSIANI, R ; CARACCIOLO, F ; RONCONI, P ; COCO, C ; PICCIOCCHI, A
Assuntos: Adenocarcinoma - diagnostic imaging ; Adenocarcinoma - pathology ; Adenocarcinoma - secondary ; Adenocarcinoma - surgery ; Algorithms ; Biological and medical sciences ; Chemotherapy, Adjuvant ; Decision Trees ; Evaluation Studies as Topic ; Humans ; Italy ; Laparoscopy ; Lymphatic Metastasis - pathology ; Medical sciences ; Neoplasm Staging ; Patient Selection ; Predictive Value of Tests ; Preoperative Care ; Prospective Studies ; Reproducibility of Results ; Sensitivity and Specificity ; Stomach Neoplasms - diagnostic imaging ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; Stomach, duodenum, intestine, rectum, anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Tomography, X-Ray Computed ; Ultrasonography ; Unnecessary Procedures
É parte de: Surgical endoscopy, 1997-12, Vol.11 (12), p.1159-1162
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: The present study is a prospective evaluation of immediate preoperative laparoscopy compared to ultrasound/computed tomography (US/CT) staging for gastric cancer in a series of 100 patients observed at two major Italian hospitals from April 1995 through September 1996. After a complete preoperative work-up all c-M0 patients underwent laparoscopy immediately prior to an eventual surgical exploration. pTNM was considered as the gold standard for the evaluation of the results. Laparoscopy detected 21 unsuspected M+ cases out of 100. As regards locally advanced tumors, laparoscopy showed a sensibility of 69.7% for T3 and 89.6% for T4, significantly higher than US/CT staging (23.2% and 48.3%, respectively; p < 0.02). In this series laparoscopic staging altered clinical staging in 58% of cases. This procedure plays two crucial roles in the preoperative evaluation of advanced gastric cancer: It makes it possible to avoid unnecessary surgical exploration in M+ cases and, to date, it represents the most reliable and economic tool for the selection of locally advanced tumors in the light of neoadjuvant treatment.
Editor: New York, NY: Springer
Idioma: Inglês

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Selection of locally advanced gastric carcinoma by preoperative staging laparoscopy

D'UGO, D. M ; PERSIANI, R ; CARACCIOLO, F ; RONCONI, P ; COCO, C ; PICCIOCCHI, A

New York, NY: Springer

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