The Necessity of Staging Laparoscopy/Thoracoscopy in Patients Undergoing Thoracolaparoscopic Oesophagogastric Resections for Malignancy
Advances in Surgical Sciences
Volume 4, Issue 3, June 2016, Pages: 9-12
Received: Mar. 22, 2016;
Accepted: Mar. 30, 2016;
Published: Apr. 27, 2016
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Mohamed Salah Abdelhamid, Faculty of Medicine, Department of Surgery, Beni–Suef University, Beni–Suef, Egypt
Ayman Abouleid, Faculty of Medicine, Department of Surgery, Beni–Suef University, Beni–Suef, Egypt
Ahmad Mohamed Sadat, Faculty of Medicine, Department of Surgery, Beni–Suef University, Beni–Suef, Egypt
Ahmad Hamouda, Maidstone and Tunbridge Wells Hospitals, Department of Surgery, Foundation Trust, UK
Amir Nisar, Maidstone and Tunbridge Wells Hospitals, Department of Surgery, Foundation Trust, UK
Haythem Ali, Maidstone and Tunbridge Wells Hospitals, Department of Surgery, Foundation Trust, UK
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The benefit of thoracolaparoscopy in the staging algorithm for patients with upper gastrointestinal malignancies is considered to be valuable. The impact of modern staging modalities on the need for staging thoracolaparoscopy is unclear. Here we assess the possible role of diagnostic thoracolaparoscopy in preoperative staging of oesophagogastric cancer. No pure gastric lesion included in the study. We have included 102 cases of esophagogastric junction and 86 lower esophagus. Staging thoracolaparoscopy was carried out for 188 consecutive patients who were considered for curative oesophagogastric resection and had undergone complete set of staging invitation. In our study, 188 patients with oesophagogastric cancer had staging thoracolaparoscopy. The mean operative time was 43.9 minutes. Overall staging thoracolaparoscopy had changed treatment decision in 23/188 patients (12.2%) where no further curative resection was attempted due to involvement of peritoneum in 18 patients (9.6%), omentum in 14patients (7.4%), liver in 11 patients (5.9%) and fixation of the stomach in 17patients (9%).We concluded that staging thoracolaparoscopy should be used for patients with esophageal cancer who are potential candidates for curative surgical resection based on a negative preoperative staging for lymph node or distant metastases Staging thoracolaparoscopy is very necessary and found to be safe and useful in detecting peritoneal, omental and liver disease despite negative staging modalities. No further curative resection was attempted due to involvement of the peritoneum, omentum, liver, and fixation of the stomach.
Thoracolaparoscopy, Oesophagectomy, Staging
To cite this article
Mohamed Salah Abdelhamid,
Ahmad Mohamed Sadat,
The Necessity of Staging Laparoscopy/Thoracoscopy in Patients Undergoing Thoracolaparoscopic Oesophagogastric Resections for Malignancy, Advances in Surgical Sciences.
Vol. 4, No. 3,
2016, pp. 9-12.
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Kooby DA. (2006) Laparoscopic surgery for cancer: historical, theoretical, and technical considerations. Oncology 20; 917-27.
Stellato TA (1992) History of laparoscopic surgery. Surg Clin North Am; 72(5): 997-1002.
Hori Y (2008) Diagnostic laparoscopy guidelines: This guideline was prepared by the SAGES Guidelines Committee and reviewed and approved by the Board of Governors of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), Surg Endosc. 22(5); 1353-83.
Chang L, Stefanidis D, Richardson WS, Earle DB, Fanelli RD (2009) The role of staging laparoscopy for intraabdominal cancers: an evidence-based review. Surg Endosc 23(2); 231-41.
Modlin IM, Kidd M, Lye KD (2004) From the lumen to the laparoscope. Arch Surg 139(10); 1110-26.
Leake PA, Cardoso R, Seevaratnam (2011) A systematic review of the accuracy and indications for diagnostic laparoscopy prior to curative-intent resection of gastric cancer. Gastric Cancer 11.
Peris A, Matano S, Manca G (2009). Bedside diagnostic laparoscopy to diagnose intraabdominal pathology in the intensive care unit. Crit Care. 13(1); R25.
Richardson WS, Stefanidis D, Chang L, Earle DB, Fanelli RD(2009) The role of diagnostic laparoscopy for chronic abdominal conditions: an evidence-based review. Surg Endosc 23(9); 2073-7.
Morino M, Pellegrino L, Castagna E, Farinella E, Mao P (2006) Acute nonspecific abdominal pain: A randomized, controlled trial comparing early laparoscopy versus clinical observation. Ann Surg 244(6); 881-6.
Heath EI, Kaufman HS, Talamini MA (2000). The role of laparoscopy in preoperative staging of esophageal cancer. Surg Endo 14; 495-499.
Cuschieri A (2001) Role of video-laparoscopy in the staging of intra-abdominal lymphomas and gastrointestinal cancer. Semin Surg Oncol. 20(2); 167-72.
Chua YJ, Cunningham D (2007) The UK NCRI MAGIC trial of perioperative chemotherapy in resectable gastric cancer: implications for clinical practice. Ann Surg Oncol 14(10); 2687-90.
Kim HJ, D'Angelica M, Hiotis SP, Shoup M, Weber SM (2007) Laparoscopic staging for liver, biliary,pancreas, and gastric cancer. Curr Probl Surg 44(4); 228-69.
Henny CP, Hofland J. Laparoscopic surgery: pitfalls due to anesthesia, positioning, and pneumoperitoneum. Surg Endosc. 2005 Sep. 19(9): 1163-71.
de Graaf GW, Ayantunde AA, Parsons SL, Duffy JP, Welch Nt (2007) The role of staging laparoscopy in oesophagogastric cancers. Eur J Surg Oncol. 33(8); 988-92.
Maggio AQ, Reece-Smith AM, Tang TY, Sadat U, Walsh SR. (2008) Early laparoscopy versus active observation in acute abdominal pain: systematic review and meta-analysis. Int J Surg 6(5); 400-3.
Karateke F, Özdogan M, Özyazici S, Das K, Menekse E, Gülnerman YC (2013) The management of penetrating abdominal trauma by diagnostic laparoscopy: a prospective non-randomized study. Ulus Travma Acil Cerrahi Derg 19(1); 53-7.
Krasna MJ, Jiao X, Mao YS (2002) Thoracosopy/laparoscopy in the staging of esophageal cancer. Surg Laparosc Endosc Percutan Tech 12; 213-218.