The role of laparoscopic staging for the management of gastric cancer

• Authors: Cemil Yüksel , Ogün Erşen , basceken salim ilksen , mercan ümit , yalkın ömer , Serdar Culcu , Batuhan Bakırarar , Sancar Bayar , Ali Ekrem Ünal , Salim Demirci

Abstracts

EN

AİM Staging laparoscopy enables us to perform palliative treatment, neo-adjuvant therapy for curative resection or direct curative resection and making a decision with minimal morbidity by avoiding from unnecessary laparotomies. In the present study, the importance of staging lapafoscopy was retrospectively investigated by using clinical and pathologic data. METHODS Data of 70 out of 350 patients who underwent diagnostic laparoscopy due to gastric cancer at Surgical Oncology department between August 2013 and January 2020 were retrospectively analyzed. RESULTS Peritoneal biopsy was positive for malignity in 41 (58.5%) and negative in 29 (41.5%) of the patients who underwent SL. Peritoneal cytology (PC) results were negative in 32 (45.7%) patients and positive in 38 (54.3%) patients. Peritoneal biopsy and cytology results were concurrently positive in 35 patients and concurrently negative in 26 patients. CONCLUSİONS In conclusion, even the most developed imaging methods cannot provide 100% staging, therefore SL plays an important role in treatment of gastric cancer and laparoscopic staging is essential as a simple, inexpensive, safe and well tolerated method in patients who have the suspicion of peritoneal disease and who cannot be clearly evaluated with pre-operative methods.

Keywords

EN

cytology; gastrectomy; peritoneal biopsy; staging laparoscopy

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2021
• Volume: 93
• Issue: 2
• Pages: 1-8

Dates

published

2021-02-08

Contributors

author

Cemil Yüksel

author

Ogün Erşen

author

basceken salim ilksen

author

mercan ümit

author

yalkın ömer

author

Serdar Culcu

author

Batuhan Bakırarar

author

Sancar Bayar

author

Ali Ekrem Ünal

author

Salim Demirci

Identifiers

DOI

10.5604/01.3001.0014.7360