Usefulness of Diagnostic Staging Laparoscopy for Advanced Gastric Cancer.
Am Surg
; 89(4): 685-690, 2023 Apr.
Article
en En
| MEDLINE
| ID: mdl-34382447
ABSTRACT
BACKGROUND:
For advanced gastric cancer (AGC), peritoneal metastasis is the most common determinant of unresectability, but accurate preoperative diagnosis for peritoneal metastasis is challenging. Staging laparoscopy (SL) can detect unsuspected peritoneal metastasis. This study retrospectively evaluated the utility of SL and its indication in patients with AGC.METHODS:
In this study, we enrolled 114 patients with pathologically diagnosed gastric adenocarcinoma who underwent SL.RESULTS:
Of the 114 patients, 43 (37.7%) had peritoneal metastasis (P1 or CY1). Higher age, larger tumor size, type 4 GC, deeper tumor depth, elevated CA125, and ascites findings in preoperative CT were found to be significant predictors of peritoneal metastasis. In multivariate analysis, peritoneal metastasis was associated with type 4 GC (odds ratio [OR] 6.11; 95% confidence interval [CI] 1.87-19.8; P < .01) and ascites in CT (OR 4.25; 95% CI 1.48-12.1; P < .01).CONCLUSIONS:
Staging laparoscopy is an effective tool to detect peritoneal metastasis from AGC. It can increase the curative resection rate and decrease unnecessary laparotomies.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neoplasias Peritoneales
/
Neoplasias Gástricas
/
Laparoscopía
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Am Surg
Año:
2023
Tipo del documento:
Article
País de afiliación:
Japón