The role of diagnostic laparoscopy in detecting minimal peritoneal metastatic deposits in patients with pancreatic cancer scheduled for curative resection

Ron Lavy*, Inbar Gatot, Ilya Markon, Zahar Shapira, Bar Chikman, Laurian Copel, Ariel Halevy

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Pancreatic cancer (PC) is an aggressive disease usually diagnosed at an advanced stage. Modern computed tomography can define the subgroup of operable patients. However, minimal peritoneal deposits can be undetected even by modern computed tomography protocols. Aim: To diagnose those patients who are not operable because of a peritoneal spread using diagnostic laparoscopy (DL), thus avoiding unnecessary laparotomies. Methods: A retrospective study was conducted on 52 consecutive patients with PC scheduled for curative pancreatic surgery. Results: Out of 52 patients who underwent DL, peritoneal spread was diagnosed in 5 patients and these patients were denied surgery. Laparoscopy did not detect 2 other patients with peritoneal spread. Conclusions: Although the added value of DL in patients with PC is small (around 10% in our series), considering the minimal morbidity and costs attributed to this procedure, we believe that it should be adopted as a routine approach.

Original languageEnglish
Pages (from-to)358-360
Number of pages3
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume22
Issue number4
DOIs
StatePublished - Aug 2012
Externally publishedYes

Keywords

  • diagnostic laparoscopy
  • pancreatic cancer
  • peritoneal metastasis

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