Page 12 - WJOLS - World Journal of Laparoscopic Surgery

Evaluation of Abdominal Malignancies by Minimal Access Surgery
were diagnosed unresectable on laparoscopy. The reasons for 8. Leake PA, Cardoso R, et al. A systematic review of the accuracy
unresectability were liver metastasis in 53 (21.2%), fixity to adjacent and indications for diagnostic laparoscopy prior to curative-intent
structures in 64 (25.6%), peritoneal metastasis in 54 (21.6%) and resection of gastric cancer. Gastric Cancer 2012;15(1):S38–S47. DOI:
omental metastasis in 59 (23.6%) patients that could be diagnosed on 10.1007/s10120-011-0047-z.
laparoscopy. Thus 111 (44.44%) patients were subjected to definitive 9. Jiminez RE, Warshaw AL, et al. Impact of laparoscopic staging in the
treatment of pancreatic cancer. Arch Surg 1999;135(4):409–415. DOI:
surgery depending upon the type of abdominal malignancy after 10.1001/archsurg.135.4.409.
diagnostic laparoscopy. Rest of the patients had undergone palliative 10. Reddy KR, Levi J, et al. Experience with staging laparoscopy in
management depending upon the type of malignancy and were pancreatic malignancy. Gastrointest Endosc 1999;49(4):498–503.
subjected to chemotherapy. Because of the use of diagnostic staging DOI: 10.1016/S0016-5107(99)70050-7.
laparoscopy, out of 250 patients, in 120 (48%) cases, nontherapeutic 11. Ahmed SI, Bochkarev V, et al. Patients with pancreatic adenocarcinoma
laparotomy could be prevented and could be subjected to further benefit From staging laparoscopy. J Laparoendosc Adv Surg Tech
palliative management like chemotherapy without much delay and 2006;16(5):458–463. DOI: 10.1089/lap.2006.16.458.
minimum morbidity. The advantages are very minimal procedure- 12. Ari D, Brooks MD, et al. The value of laparoscopy in the management
related complications, no pain, faster recovery minimum morbidity, of ampullary, duodenal, and distal bile duct tumors. J Gastrointest
Surg 2002;6(2):139–146.
no mortality, no procedure-related adverse oncological effects. Out 13. Christopher JB, Keith DL, et al. Diagnostic laparoscopy for
of 250 patients of abdominal malignancies, 109 (43.6%) patients had periampullary and pancreatic cancer: What is the true benefit?
positive peritoneal cytology who also had metastases proven with J Gastrointest Surg 2002;6(1):75–81.
laparoscopic staging. The sensitivity and specificity of laparoscopy 14. Weber SM, DeMatteo RP, et al. Staging laparoscopy in patients with
in abdominal malignancies to detect resectable disease was 93.88% extrahepatic biliary carcinoma. Analysis of 100 patients. Ann Surg
and 54.44%, respectively. 2002;235(3):392–399. DOI: 10.1097/00000658-200203000-00011.
15. Tilleman EH, de Castro SM, et al. Diagnostic laparoscopy and
laparoscopic ultrasound for staging of patients with malignant
conclusIon proximal bile duct obstruction. J Gastrointest Surg 2002;6(3):426–431.
This study highlights the emphatic utility of diagnostic laparoscopy DOI: 10.1016/S1091-255X(02)00005-7, discussion 430431.
procedures in staging and management of abdominal malignancy. 16. Goere D, Wagholikar GD, et al. Utility of staging laparoscopy in
Laparoscopic evaluation of a patient with intra-abdominal subsets of biliary cancers: laparoscopy is a powerful diagnostic tool
in patients with intrahepatic and gallbladder carcinoma. Surg Endosc
malignancies is a desirable tool against imaging modalities in 2006;20(5):721–725. DOI: 10.1007/s00464-005-0583-x.
improving the detection of metastatic disease and accurate staging 17. Rahusen FD, Cuesta MA, et al. Selection of patients for resection of
of the disease process. colorectal metastases to the liver using diagnostic laparoscopy and
laparoscopic ultrasonography. Ann Surg 1999;230(1):31–37. DOI:
10.1097/00000658-199907000-00005.
lImItAtIons of study
18. Jarnagin WR, Conlon K, et al. Clinical scoring system predicts
Long-term follow-up of patients could not be done. the yield of diagnostic laparoscopy in patients with potentially
resectable hepatic colorectal metastases. Cancer 2001;91(6):1121–
references 1128. DOI: 10.1002/1097-0142(20010315)91:6<1121::AID-CNCR1108>
3.0.CO;2-2.
1. Conlon KC, Minnard EA. The Value of Laparoscopic Staging in Upper 19. Grobmyer SR, Fong Y, et al. Diagnostic laparoscopy prior to
Gastrointestinal Malignancy. Oncologist 1997;2(1):10–17. planned hepatic resection for colorectal metastases. Arch Surg
2. Armenta JF, Iqbal A, et al. Resolution and magnification of the 2004;139(12):1326–1330. DOI: 10.1001/archsurg.139.12.1326.
laparoscope: an observational analysis. Asociación Mexicana de 20. Weitz J, D’Angelica M, et al. Selective use of diagnostic laparoscopy
Cirugía Endoscópica, A.C 2004;5(2):104–106. prior to planned hepatectomy for patients with hepatocellular
3. Ramshaw BJ, Esartia P, et al. Laparoscopy for diagnosis and staging carcinoma. Surgery 2004;135(3):273–281. DOI: 10.1016/
of malignancy. Semin Surg Oncol 1999;16(4):279–283. DOI: 10.1002/ j.surg.2003.07.004.
(SICI)1098-2388(199906)16:4<279::AID-SSU2>3.0.CO;2-4. 21. Lai EC, Tang CN, et al. The evolving influence of laparoscopy and
4. Muntean V, Oniu T, et al. Staging laparoscopy in digestive cancers. laparoscopic ultrasonography on patients with hepatocellular
J Gastrointestin Liver Dis 2009;18(4):461–467. carcinoma. Am J Surg 2008;196(5):736–740. DOI: 10.1016/
5. Vainio A, Auken M. Prevalence of Symptoms Among Patients With j.amjsurg.2007.08.073.
Advanced Cancer: An International Collaborative Study. J Pain 22. Marmor RA, Kelly KJ, et al. Laparoscopy is safe and accurate to
Symptom Manag 1996;12(1);3–10. 10.1016/0885-3924(96)00042-5. evaluate peritoneal surface metastasis prior to cytoreductive surgery.
6. Burke EC, Karpeh MS, et al. Laparoscopy in the management of Ann Surg Oncol 2016;23(5):1461–1467. DOI: 10.1245/s10434-015-4958-
gastric adenocarcinoma. Ann Surg 1997;225(3):262–267. DOI: 5.
10.1097/00000658-199703000-00004. 23. Nieveen van Dijkum EJM, Patrick DS, et al. Cytology of peritoneal
7. Kriplani AK, Kapur BML. Laparoscopy for the preoperative staging lavage performed during staging laparoscopy for gastrointestinal
and assessment of operability in gastric cancer. Gastrointest Endosc malignancies: Is It Useful?*. Ann Surg 1998;228(6):728–733. DOI:
1991;37(4):441–443. DOI: 10.1016/S0016-5107(91)70776-1. 10.1097/00000658-199812000-00002.

120 World Journal of Laparoscopic Surgery, Volume 11 Issue 3 (September–December 2018)