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Titolo:
Role of video-laparoscopy in the staging of intra-abdominal lymphomas and gastrointestinal cancer
Autore:
Cuschieri, A;
Indirizzi:
Univ Dundee, Ninewells Hosp & Med Sch, Dept Surg & Mol Oncol, Dundee DD1 9SY, Scotland Univ Dundee Dundee Scotland DD1 9SY Mol Oncol, Dundee DD1 9SY, Scotland
Titolo Testata:
SEMINARS IN SURGICAL ONCOLOGY
fascicolo: 2, volume: 20, anno: 2001,
pagine: 167 - 172
SICI:
8756-0437(200103)20:2<167:ROVITS>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSITRON-EMISSION-TOMOGRAPHY; HODGKINS-DISEASE; DIAGNOSTIC LAPAROSCOPY; HEMATOLOGIC MALIGNANCIES; OPEN SPLENECTOMY; MANAGEMENT; ULTRASOUND; BIOPSY; MESOTHELIOMA; INVOLVEMENT;
Keywords:
laparoscopy; neoplasm staging; abdominal neoplasms; stomach neoplasms; lymphoma; esophageal neoplasms; pancreatic neoplasms; biliary tract neoplasms; liver neoplasms;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
53
Recensione:
Indirizzi per estratti:
Indirizzo: Cuschieri, A Univ Dundee, Ninewells Hosp & Med Sch, Dept Surg & Mol Oncol,Dundee DD1 9SY, Scotland Univ Dundee Dundee Scotland DD1 9SY undee DD1 9SY, Scotland
Citazione:
A. Cuschieri, "Role of video-laparoscopy in the staging of intra-abdominal lymphomas and gastrointestinal cancer", SEM SURG ON, 20(2), 2001, pp. 167-172

Abstract

There is good category II/III evidence that video-laparoscopic staging is valuable in certain gastrointestinal (gastric, esophageal, pancreatic, and hepatobiliary) and intra-abdominal lymphomas, but no category I evidence (based on prospective randomized trials). The evidence available is all retrospective, but of sufficient consistency to indicate that laparoscopic staging adds to the primary (imaging) staging and often alters the clinical stage of the disease and hence the management of the individual patient. The advent of laparoscopic contact ultrasound (LCU) scanning has improved the staging accuracy for pancreatic and hepatobiliary neoplasms. The laparoscopic approach also offers a means of surgical palliation in certain patient groups. However, there are a number of unresolved issues concerning the use of video-laparoscopy. The most important concerns whether staging laparoscopy should be performed immediately before scheduled surgery or as a separate intervention. The cost-efficacy of these two management options needs to be evaluated in prospective studies. In some centres, laparoscopic staging is being conducted by gastroenterologists and hepatologists. This raises issues of safety and ability to undertake certain procedures that may be necessary during the laparoscopic staging. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 20:12:32