Laparoscopy for pre-operative staging and assessment of operability in gastric carcinoma.

Abstract:

:Laparoscopy was performed in 40 patients with gastric carcinoma, whose lesions were otherwise considered amenable to operation, in order to more accurately stage the disease and ascertain the prospect of resectability. Laparoscopy disclosed hitherto unrecognized distant metastases in 5 cases (12.5%) and locally advanced, unresectable neoplasia in 11 cases (27.5%). Thus, laparoscopy served as a basis for avoiding the burden of futile laparotomy in 16 patients (40%). Laparoscopy confirmed the feasibility of resection in 24 patients, and this finding was borne out in 20 of 23 patients surgically explored (87%). The overall diagnostic accuracy of laparoscopy was 91.6%. Laparoscopy was performed in these patients with no mortality or morbidity. We conclude that laparoscopy is an effective means of evaluating resectability of gastric carcinomas and can provide valuable help in planning surgical approach.

journal_name

Gastrointest Endosc

authors

Kriplani AK,Kapur BM

doi

10.1016/s0016-5107(91)70776-1

subject

Has Abstract

pub_date

1991-07-01 00:00:00

pages

441-3

issue

4

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(91)70776-1

journal_volume

37

pub_type

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