Page 9 - WJOLS - World Journal of Laparoscopic Surgery

Evaluation of Abdominal Malignancies by Minimal Access Surgery

Fig. 1: Distribution of patients according to the type of cancer Fig. 2: Distribution of patients according to the radiological and
laparoscopic stage of overall cancer patients

Fig. 3: Distribution of patients according to the reasons for unresectability
Table 1: Distribution of patients according to the radiological and laparoscopic stage of overall cancer patients
Radiological Laparoscopic
Stage No of patients Percentage No of patients Percentage p value

I 30 12 12 4.8 99.22 p = 0.0001, S

II 122 48.8 69 27.6
III 92 36.8 77 30.8
IV 6 2.4 92 36.8

34.4% of cases were diagnosed as metastatic disease (stage IV) by procedure, it is called inoperable. Resectability is with regard to
diagnostic laparoscopy, which was understated by radiological the tumor. A lesion or tumor is said to be unresectable if there is
imaging (Table 2). local fixity or neural/vascular encasement. In our study, the reason
Operability is with regard to the patient. If a malignant disease for unresectability was local tumor fixity to adjacent structures
can be cured with a radical surgery, such a patient is said to be and neural/vascular encasement. Out of 105 patients of colorectal
operable. If one cannot cure a malignant disease by a surgical malignancies, 31 (29.52%) patients were unresectable. 10 patients

World Journal of Laparoscopic Surgery, Volume 11 Issue 3 (September–December 2018) 117