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Clinical utility of perioperative staging laparoscopy for advanced gastric cancer.


ABSTRACT:

Background

Perioperative staging laparoscopy is a useful tool for the detection of occult peritoneal metastases in gastrointestinal cancers. This retrospective study aimed to determine the clinical value of staging laparoscopy for advanced or recurrent gastric cancer.

Methods

A total of 178 patients with advanced or recurred gastric cancer who underwent perioperative staging laparoscopy were enrolled. In the absence of peritoneal deposits (P1) and positive peritoneal cytology (CY1), gastrectomy with lymph node dissection was indicated with curative intent. If P1 or CY1 was detected intraoperatively, patients received intensive chemotherapy and laparoscopic surgical intervention.

Results

Curative gastrectomy was performed in 104 patients after confirmation of P0 and CY

SUBMITTER: Ishigami S 

PROVIDER: S-EPMC4247723 | biostudies-literature | 2014 Nov

REPOSITORIES: biostudies-literature