Role of Diagnostic Laparoscopy in the Management of Gastro Oesophageal, Pancreatic and Colorectal Cancers

Thejeswi, Poorna Chandra and Pai, Manohar V and Bhat, Rahul (2015) Role of Diagnostic Laparoscopy in the Management of Gastro Oesophageal, Pancreatic and Colorectal Cancers. IOSR Journal of Dental and Medical Sciences, 14 (10). pp. 107-113. ISSN 2279-0861

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Abstract

Background: Most of the abdominal malignancies on explorationwere found to be unresectable or inoperable.Despite advances in radiology, pre- operative imaging studies are far less accuratein staging.Staging of the malignancy is very important that each patient receives necessary treatment with less morbidity. This study evaluates peritoneal and liver tumour deposits, which were not detected on pre -operative imaging. Materials and methods: The study was done in 70 patients.Patients with gastro-oesophageal, pancreatic and colorectal malignancies which were found to be operable on pre-operative imaging studies were included. Patients with distant metastasison pre-operative imaging evaluation were excluded.A thorough examination of peritoneal cavity was made and if requiredbiopsy was taken. Results: Out of 70 cases, 54 were operable and 16 were inoperable on diagnostic laparoscopy due to liver and peritoneal metastasis. 54 cases underwent definitive procedures.In 16 inoperable cases, 5 cases underwent palliative proceduresto relieve obstruction.In 11 cases, only biopsies were done for tissue diagnosis without unnecessary laparotomies. Conclusion: Diagnostic laparoscopywas very accurate in detecting peritoneal and hepatic deposits which were not detected on imaging modalities.The procedureis found to be safe and effective.Staging Laparoscopy gives more details about extent of thedisease which changed the course of management in significantnumber of patients

Item Type: Article
Uncontrolled Keywords: Diagnostic laparoscopy, staging of gastro intestinal cancers, operability.
Subjects: Medicine > KMC Mangalore > Surgery
Depositing User: KMCMLR User
Date Deposited: 21 Jan 2016 10:17
Last Modified: 21 Jan 2016 10:17
URI: http://eprints.manipal.edu/id/eprint/145124

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