Minimally invasive staging surgery for cancer Review


Authors: Cohen, N. A.; Kingham, T. P.
Review Title: Minimally invasive staging surgery for cancer
Abstract: Staging laparoscopy (SL) is used to assess for radiographically occult metastatic disease and local resectability in selected patients with gastrointestinal malignancies. SL may avoid nontherapeutic laparotomy in patients with unresectable cancer and is associated with shorter length of hospital stay and time to receipt of systemic therapy compared with nontherapeutic laparotomy. With improvements in preoperative imaging, careful patient selection for SL is imperative. SL and peritoneal washings should be considered for patients with distal gastroesophageal and locally advanced gastric cancer before planned neoadjuvant chemotherapy or resection. SL should be considered in selected high-risk patients with hepatopancreatobiliary malignancies. © 2018 Elsevier Inc.
Keywords: surgical technique; review; liver cell carcinoma; patient selection; cancer staging; staging; laparoscopy; diagnostic accuracy; laparotomy; preoperative evaluation; pancreas; cytology; computer assisted tomography; digestive system cancer; length of stay; diagnostic value; pancreas adenocarcinoma; stomach cancer; minimally invasive surgery; bile duct carcinoma; neoadjuvant chemotherapy; cholecystectomy; gallbladder cancer; lavage; biliary tract tumor; gastric; gastroesophageal junction; staging laparoscopy; hepatobiliary system cancer; port site metastasis; colorectal liver metastasis; time to treatment; cancer; human
Journal Title: Surgical Oncology Clinics of North America
Volume: 28
Issue: 1
ISSN: 1055-3207
Publisher: Elsevier Inc.  
Date Published: 2019-01-01
Start Page: 61
End Page: 77
Language: English
DOI: 10.1016/j.soc.2018.07.006
PUBMED: 30414682
PROVIDER: scopus
DOI/URL:
Notes: Review -- Export Date: 3 December 2018 -- Source: Scopus
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  1. T Peter Kingham
    617 Kingham
  2. Noah Avram Cohen
    19 Cohen