PMID: 8944463Oct 1, 1996Paper

Accuracy of laparoscopic ultrasonography in the staging of upper gastrointestinal malignancy

The British Journal of Surgery
D N AndersonK G Park

Abstract

Laparoscopic ultrasonographic staging was compared prospectively with conventional computed tomography (CT) and ultrasonographic staging of 24 lower-third oesophageal tumors and 20 gastric malignancies. Following laparoscopic ultrasonography, seven patients regarded as being resectable after conventional imaging were excluded from surgical exploration because of ascites with peritoneal deposits (four patients), liver metastases (one), advanced local disease (one) and poor tolerance of general anaesthesia (one). Preoperative T and N stages were compared with the pathological staging following resection in 34 patients. Laparoscopic ultrasonography was significantly more accurate than conventional CT and ultrasonography in assessment of the primary tumour (91 versus 64 per cent, P < 0.01) and nodal status (91 versus 62 per cent, P < 0.05). The addition of laparoscopic ultrasonography to conventional procedures for staging upper gastrointestinal malignancy improved the overall accuracy of staging. Although this may have future implications for the selection of patients for multimodality treatment, management decisions are currently based on laparoscopic findings, which in this study resulted in a resection rate of 97 per cent.

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Citations

May 20, 1999·Seminars in Surgical Oncology·B J RamshawG Lucas
May 29, 1998·The Surgical Clinics of North America·R Kolecki, B Schirmer
Jul 1, 1999·Ultrasound in Medicine & Biology·M MakuuchiJ Machi
Jul 4, 1998·European Journal of Radiology·M BezziP Rossi
Jul 22, 1999·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·J Durup Scheel-HinckeC P Hovendal
Dec 10, 1999·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·A K Olsen, O A Bjerkeset
Mar 3, 1998·Journal of the American College of Surgeons·D W Rattner
Nov 5, 1999·Journal of the American College of Surgeons·E J Nieveen van DijkumD J Gouma
Mar 1, 2002·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M E FlettK G Park
Dec 31, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Tak-Hong CheungWei-Tse Yang
Mar 9, 2007·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·G W de GraafN T Welch
Jul 1, 1998·Gastrointestinal Endoscopy·F H Chae, G V Stiegmann
May 25, 2001·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·R T BryanJ W Fielding
Mar 17, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Yuya SatoMasanori Terashima

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