Laparoscopic staging of biliopancreatic malignancy

被引:7
作者
Gouma, DJ [1 ]
van Dijkum, EJMN [1 ]
de Wit, LT [1 ]
Obertop, H [1 ]
机构
[1] Acad Med Ctr, Dept Surg, NL-1105 AZ Amsterdam, Netherlands
关键词
bile duct carcinoma; laparoscopy; metastases; pancreatic carcinoma; staging; tumor ingrowth; ultrasonography;
D O I
10.1023/A:1008324416654
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The main benefit of laparoscopic staging (LLU) of (distal) biliopancreatic malignancy is the detection of small superficial metastases at the liver surface and peritoneum and local tumor ingrowth. The different aspects of laparoscopic staging have been described extensively in the literature and the benefit is generally expressed in terms of prevention of laparotomy. The impact of this final staging procedure on outcome for the patient in terms of the efficacy of the subsequent non-surgical palliative treatment have been analysed scarsly. In this review the results of laparoscopic staging of bilio-pancreatic tumors concerning the detection of metastases and tumor ingrowth as well as the results of long term follow up after subsequent non-surgical treatment and the preferred palliative treatment after laparoscopic staging are discussed.
引用
收藏
页码:33 / 36
页数:4
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