Staging laparoscopy as a routine procedure in the management of advanced gastric cancer.

Ricardo Nogueira; Catarina Rodrigues Santos; Rodrigo Oom; Paulo Ramos; Cecilia Monteiro; Rui Casaca

Volume : VIII, Issue : XI, November - 2019

Staging laparoscopy as a routine procedure in the management of advanced gastric cancer.

Ricardo Nogueira, Catarina Rodrigues Santos, Rodrigo Oom, Paulo Ramos, Cecilia Monteiro, Rui Casaca

Abstract :

In patients with stomach cancer, computerized tomography (CT) has a low sensitivity in the detection of secondary deposits in the peritoneum. The aim of this study is to evaluate the advantage of simplified staging laparoscopy (SSL) in patient with advanced gastric cancer. We evaluated retrospectively patients diagnosed with clinically advanced adenocarcinomas of the stomach and esophagogastric junction (Siewert‘s type II and III) submitted SSL between April 2009 and June 2015. All patients underwent CT and 43.9% underwent eco–endoscopy (ECOENDO). A total of 196 patients with locally advanced gastric cancer were selected for SSL, 6 patients fail to perform due technical difficulties (3%). Surgeons made biopsies during SSL in 64 patients and 64.6% of those were confirmed histologically as metastatic disease. It means that 22.1% uptage to M1 after SSL. SSL has shown to be a valid method to evaluate radiologically occult metastasis, improving stomach cancer staging, decreasing the number of exploratory laparotomies.