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Combined preoperative endoscopic and laparoscopic ultrasonography for prediction of R0 resection in upper gastrointestinal tract cancer.
- Source :
-
The British journal of surgery [Br J Surg] 2006 Jun; Vol. 93 (6), pp. 720-5. - Publication Year :
- 2006
-
Abstract
- Background: This study evaluated the ability of combined endoscopic and laparoscopic ultrasonography to predict R0 resection and avoid unnecessary surgery in patients with upper gastrointestinal tract cancer (UGIC).<br />Methods: A total of 411 consecutive patients with UGIC (182 pancreatic cancers, 134 gastric cancers and 95 oesophageal cancers) treated between January 2002 and May 2004 were analysed prospectively. The allocation of patients into resectability groups by endoscopic ultrasonography (EUS) and laparoscopic ultrasonography (LUS) was compared with the treatment actually undertaken.<br />Results: The combination of EUS and LUS correctly predicted R0 resection in 90.6 per cent, R1-R2 in 91 per cent and irresectability in 91.4 per cent of patients. Ten patients (2.4 per cent) had explorative laparotomy only. There were no complications associated with the EUS and LUS procedures.<br />Conclusion: The routine use of EUS and LUS before surgery predicted R0 resection in nine of ten patients and reduced the number of unnecessary laparotomies to less than 3 per cent.<br /> (Copyright (c) 2006 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.)
- Subjects :
- Adult
Aged
Aged, 80 and over
Female
Gastrointestinal Neoplasms surgery
Humans
Male
Middle Aged
Pancreatic Neoplasms surgery
Preoperative Care methods
Prospective Studies
Upper Gastrointestinal Tract diagnostic imaging
Endosonography methods
Gastrointestinal Neoplasms diagnostic imaging
Laparoscopy methods
Pancreatic Neoplasms diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 0007-1323
- Volume :
- 93
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- The British journal of surgery
- Publication Type :
- Academic Journal
- Accession number :
- 16671064
- Full Text :
- https://doi.org/10.1002/bjs.5342