Book chapter
The Role of Staging Laparoscopy and Peritoneal Cytology in Gastric Cancer
Gastric Cancer, pp.155-160
Springer International Publishing
06/11/2015
DOI: 10.1007/978-3-319-15826-6_10
Abstract
Staging laparoscopy is an important yet underutilized tool in the treatment of patients with gastric adenocarcinoma. The principle goal of staging laparoscopy is to identify patients with operable primary lesions absent of macroscopic or microscopic metastatic disease. Despite appropriate preoperative radiographic staging, approximately a quarter of the patients with seemingly operable disease are in fact found to have occult gross metastatic lesions on staging laparoscopy. Moreover, patients with advanced lesions (serosal invasion, nodal disease) are particularly at a high risk of microscopic metastases into the surrounding peritoneal fluid. Sampling the peritoneal fluid for free tumor cells during laparoscopy identifies patients with microscopic metastatic disease, a diagnosis that portends a similarly poor prognosis to patients with gross metastatic disease. Identifying these patients prior to laparotomy not only saves the patient the morbidity of a needless major surgery but also prevents the delay of further chemotherapy.
Details
- Title: Subtitle
- The Role of Staging Laparoscopy and Peritoneal Cytology in Gastric Cancer
- Creators
- James P. De Andrade - University of IowaJames J. Mezhir - University of IowaVivian E. Strong - Memorial Sloan Kettering Cancer Center
- Resource Type
- Book chapter
- Publication Details
- Gastric Cancer, pp.155-160
- Publisher
- Springer International Publishing; Cham
- DOI
- 10.1007/978-3-319-15826-6_10
- Language
- English
- Date published
- 06/11/2015
- Academic Unit
- Surgery
- Record Identifier
- 9984322791202771
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