The role of staging laparoscopy for intraabdominal cancers: an evidence-based review |
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| Authors: | L Chang D Stefanidis W S Richardson D B Earle R D Fanelli |
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| Institution: | (1) Department of General Surgery, Virginia Mason Medical Center, 1100 Ninth Avenue, Seattle, WA 98101, USA;(2) Department of General Surgery, Carolinas Medical Center, Charlotte, NC, USA;(3) Department of Surgery, Ochsner Clinic, New Orleans, LA, USA;(4) Department of Surgery, Baystate Medical Center, Springfield, MA, USA;(5) Department of Surgery, Surgical Specialists of Western New England, PC and Berkshire Medical Center, Pittsfield, MA, USA |
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| Abstract: | Diagnostic laparoscopy is minimally invasive surgery for the diagnosis of intraabdominal diseases. The aim of this review
is a critical examination of the available literature on the role of laparoscopy for the staging of intraabdominal cancers.
A systematic literature search of English-language articles on MEDLINE, the Cochrane database of evidence-based reviews, and
the Database of Abstracts of Reviews of Effects was performed for the period 1995–2006. The level of evidence in the identified
articles was graded. The search identified and reviewed seven main categories that have received attention in the literature:
esophageal cancer, gastric cancer, pancreatic cancer, hepatocellular carcinoma, biliary tract cancer, colorectal cancer, and
lymphoma. The indications, contraindications, risks, benefits, diagnostic accuracy of the procedure, and its associated morbidity
are discussed. The limitations of the available literature are highlighted, and evidence-based recommendations for the use
of laparoscopy to stage intraabdominal cancers are provided. |
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| Keywords: | Diagnostic laparoscopy Intraabdominal cancer Staging laparoscopy |
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