Is laparoscopic sonography a reliable and sensitive procedure for staging colorectal cancer? A comparative study
| Autor: | Christian Galatioto, G Celona, L Pieri, Pv Lippolis, Enrico Cavina, Orlando Goletti, B Viaggi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 1998 |
| Předmět: |
Laparoscopic surgery
Male medicine.medical_specialty Colorectal cancer medicine.medical_treatment Biopsy Preoperative care Palpation Sensitivity and Specificity Endosonography Monitoring Intraoperative Preoperative Care medicine Carcinoma Humans False Positive Reactions Laparoscopy False Negative Reactions Colectomy Neoplasm Staging medicine.diagnostic_test business.industry Liver Neoplasms medicine.disease Surgery Female Radiology business Colorectal Neoplasms Abdominal surgery |
| Zdroj: | Scopus-Elsevier |
| Popis: | Background: Laparoscopic colectomy has developed rapidly with the explosion of technology. In most cases, laparoscopic resection is performed for colorectal cancer. Intraoperative staging during laparoscopic procedure is limited. Laparoscopic ultrasonography (LUS) represents the only real alternative to manual palpation during laparoscopic surgery. Methods: We evaluated the diagnostic accuracy of LUS in comparison with preoperative staging and laparoscopy in 33 patients with colorectal cancer. Preoperative staging included abdominal US, CT, and endoscopic US (for rectal cancer). Laparoscopy and LUS were performed in all cases. Pre- and intraoperative staging were related to definitive histology. Staging was done according to the TNM classification. Results: LUS obtained good results in the evaluation of hepatic metastases, with a sensitivity of 100% versus 62.5% and 75% by preoperative diagnostic means and laparoscopy, respectively. Nodal metastases were diagnosed with a sensitivity of 94% versus 18% with preoperative staging and 6% with laparoscopy, but the method had a low specificity (53%). The therapeutic program was changed thanks to laparoscopy and LUS in 11 cases (33%). In four cases (12%), the planned therapeutic approach was changed after LUS alone. Conclusions: The results obtained in this study demonstrate that LUS is an accurate and highly sensitive procedure in staging colorectal cancer, providing a useful and reliable diagnostic tool complementary to laparoscopy. |
| Databáze: | OpenAIRE |
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