The role of laparoscopy in preoperative staging of esophageal cancer

Citation
Ei. Heath et al., The role of laparoscopy in preoperative staging of esophageal cancer, SURG ENDOSC, 14(5), 2000, pp. 495-499
Citations number
17
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery
Journal title
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
ISSN journal
0930-2794 → ACNP
Volume
14
Issue
5
Year of publication
2000
Pages
495 - 499
Database
ISI
SICI code
0930-2794(200005)14:5<495:TROLIP>2.0.ZU;2-6
Abstract
Background: Diagnostic laparoscopy has been used to determine resectability and to prevent unnecessary laparotomy in patients with advanced esophageal cancer. The objective of this prospective study was to evaluate the role o f laparoscopy in conjunction with computed tomography (CT) scan in staging patients with esophageal cancer. Methods: From March 1995 to October 1998, 59 patients with biopsy-proven es ophageal cancer underwent diagnostic laparoscopy with concurrent vascular a ccess device and feeding jejunostomy tube placement. Results: Laparoscopy changed the treatment plan in 10 of 59 patients (17%). Of the patients with normal-appearing regional or celiac nodes, 78% were c onfirmed by biopsy to be tumor free, whereas 76% of patients with abnormal- appearing nodes were confirmed by biopsy to have node-positive disease. Conclusions: Diagnostic laparoscopy is useful for detecting and confirming nodal involvement and distant metastatic disease that potentially would alt er treatment and prognosis in patients with esophageal cancer.