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Annals of Oncology 10:S33-S36, 1999
© 1999 European Society for Medical Oncology

Laparoscopic staging of biliopancreatic malignancy

Dirk J. Gouma, Els J.M. Nieveen van Dijkum, Laurens T. de Wit and Huug Obertop

Academic Medical Center Amsterdam, The Netherlands

Address of correspondence Prof.Dr.D.J. Gouma, Academic Medical Center, Dept. of Surgery / G4-115, Meibergdreef 9, 1105 AZ AMSTERDAM, The Netherlands

The main benefit of laparoscopic staging (LLU) of (distal) biliopancreatic malignancy is the detection of small superficial metastases at the liver surface and peritoneum and local tumor ingrowth. The different aspects of laparoscopic staging have been described extensively in the literature and the benefit is generally expressed in terms of prevention of laparotomy. The impact of this final staging procedure on outcome for the patient in terms of the efficacy of the subsequent non-surgical palliative treatment have been analysed scarsly. In this review the results of laparoscopic staging of bilio-pancreatic tumors concerning the detection of metastases and tumor ingrowth as well as the results of long term follow up after subsequent non-surgical treatment and the preferred palliative treatment after laparoscopic staging are discussed.

bile duct carcinoma, laparoscopy, metastases, pancreatic carcinoma, staging, tumor ingrowth, ultrasonography


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