The Value of Laparoscopic Staging in Upper Gastrointestinal Malignancy
نویسندگان
چکیده
منابع مشابه
The Value of Laparoscopic Staging in Upper Gastrointestinal Malignancy.
The goal of the clinical staging of malignant disease is to accurately define the extent of disease, direct appropriate therapy and avoid unnecessary intervention. Recent reports have suggested that laparoscopy can play a useful and complementary role in the staging of abdominal malignancy. This paper reviews the recent experience with laparoscopy in the staging of patients with upper gastroint...
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The main benefit of laparoscopic staging (LLU) of (distal) bilio-pancreatic malignancy is the detection of small superficial metastases at the liver surface and peritoneum and local tumor ingrowth. The different aspects of laparoscopic staging have been described extensively in the literature and the benefit is generally expressed in terms of prevention of laparotomy. The impact of this final s...
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Imaging plays a vital role in the management of oesophageal cancer including diagnosis, staging and follow up. Computerised tomography (CT) is used for staging and follow up, with magnetic resonance imaging (MRI) having only a limited role. Endoscopic ultrasound (EUS) provides optimal information for tumour extent and local nodal involvement. Functional imaging using 2-18 fluoro-deoxyglucose po...
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management of those problems. Only with a complete knowledge of the staging of the disease can the appropriate treatment be applied, be it surgical or medical. Many of the approaches for this pre-operative (or “non operative”) staging are based in imaging exams that have shown, up till now, some degree of failure in its results. This is due to a lack of definition, both in dimensions and in his...
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Since 1980, endoscopic ultrasound (EUS) has been used as an important tool for the evaluation of malignant diseases in hollow viscus and bilio-pancreas, as well as sub-epithelial tumors. The high-resolution capacity and low penetration depth of EUS make it possible to obtain highly detailed images of the gastrointestinal wall and immediate surroundings to a depth of 4-5 cm. Thus, over the past ...
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ژورنال
عنوان ژورنال: The Oncologist
سال: 1997
ISSN: 1083-7159,1549-490X
DOI: 10.1634/theoncologist.2-1-10