Minimally Invasive Staging Surgery for Cancer

被引：2

作者：

Cohen, Noah A. ^{[1
]}

Kingham, Thomas Peter ^{[1
]}

机构：

[1] Mem Sloan Kettering Canc Ctr, Dept Surg, 1275 York Ave, New York, NY 10065 USA

来源：

SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA | 2019年 / 28卷 / 01期

关键词：

Staging; Laparoscopy; Cancer; Gastric; Pancreas; Colorectal liver metastasis; PERITONEAL-LAVAGE CYTOLOGY; DIAGNOSTIC LAPAROSCOPY PRIOR; ADD PROGNOSTIC INFORMATION; PANCREATIC-CANCER; COMPUTED-TOMOGRAPHY; GALLBLADDER CANCER; BILIARY CANCERS; GASTRIC-CANCER; TUMOR-CELLS; HEPATOCELLULAR-CARCINOMA;

D O I：

10.1016/j.soc.2018.07.006

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Staging laparoscopy (SL) is used to assess for radiographically occult metastatic disease and local resectability in selected patients with gastrointestinal malignancies. SL may avoid nontherapeutic laparotomy in patients with unresectable cancer and is associated with shorter length of hospital stay and time to receipt of systemic therapy compared with nontherapeutic laparotomy. With improvements in preoperative imaging, careful patient selection for SL is imperative. SL and peritoneal washings should be considered for patients with distal gastroesophageal and locally advanced gastric cancer before planned neoadjuvant chemotherapy or resection. SL should be considered in selected high-risk patients with hepatopancreatobiliary malignancies.

引用

页码：61 / +

页数：18

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