EP.TH.528The Accuracy of the Multi-slice detector CT Scan (MDCT) in staging borderline resectable periampullary carcinoma

Abstract Objectives Assess MDCT accuracy in staging cancers periampullary cancers. Introduction Periampullary malignancies are highly aggressive with poor outcomes. Surgery is the only curative option. It crucial to define patients who can advantage from a Whipple’s resection and avoid. Methodology Results RCT investigated randomly 28 over 15 months. The were sub-divided into 2 groups. Group A, we relied mainly on for preoperative staging, while B laparoscopy was added before abdominal exploration. Sensitivity of its 100% defining signs irresectability. For borderline scan 62.5% 71%, groups A B. Overall 75%. decreased 68.1% lesions. addition diagnostic work up, increased 92.5%. camera test able see occult findings which missed images. liver Mets malignant peritoneal fluid localized 18% 9% respectively. 3 cases group one underwent unnecessary laparotomy. Thus, false negative incidences 21% 7% B, overall incidence 14.2%. Conclusion sensitive specific high stage These parameters drop border tumors reduced detecting degree vascular abutment distant-occult findings. Addition other adjuncts decrease rate un-indicated laparotomy advised.