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Surg Oncol Clin N Am. 2019 Jan;28(1):61-77. doi: 10.1016/j.soc.2018.07.006. Epub 2018 Oct 23.

Minimally Invasive Staging Surgery for Cancer.

Author information

1
Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
2
Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA. Electronic address: kinghamt@mskcc.org.

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.

KEYWORDS:

Cancer; Colorectal liver metastasis; Gastric; Laparoscopy; Pancreas; Staging

PMID:
30414682
DOI:
10.1016/j.soc.2018.07.006
[Indexed for MEDLINE]

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