A critical appraisal of laparoscopic staging in hepatobiliary and pancreatic malignancy
| Autor: | Patrick M. McEnaney, Mark P. Callery, Ravi S. Chari, Michael W. Potter, Shimul A. Shah |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
Pancreatic malignancy Cost-Benefit Analysis Resection Pancreatic cancer Biopsy medicine Humans Endoscopy Digestive System Laparoscopy Neoplasm Staging Ultrasonography Cholangiopancreatography Endoscopic Retrograde medicine.diagnostic_test business.industry General surgery Liver Neoplasms Palliative Care Ultrasound Reproducibility of Results Length of Stay Prognosis medicine.disease Magnetic Resonance Imaging United States Laparoscopic staging Pancreatic Neoplasms Critical appraisal Biliary Tract Neoplasms Oncology Surgery Radiology Morbidity Tomography X-Ray Computed business |
| Zdroj: | Surgical Oncology. 9:103-110 |
| ISSN: | 0960-7404 |
| DOI: | 10.1016/s0960-7404(01)00005-6 |
| Popis: | Prognosis for patients with hepatobiliary and pancreatic cancers is dismal. Surgery is the best therapeutic option for those with tumors which have not yet metastasized. Standard radiologic tests such as computed tomography (CT) scan and trans-abdominal ultrasound are useful in identifying patients for whom an attempt at resection would be futile. Staging laparoscopy with laparoscopic ultrasound allows greater precision in identifying those for whom resection would be helpful with less morbidity than an open exploration. Metastatic disease can be identified more precisely than with radiologic tests and can be characterized by biopsy techniques. Palliative procedures are now being performed laparoscopically with low morbidity and short hospital stays. The use of laparoscopy prior to open exploration for patients with hepatobiliary and pancreatic tumors is advantageous. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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