We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The Role of Laparoscopy in Advanced Pancreatic Cancer Diagnosis.
- Authors
Butturini, Giovanni; Crippa, Stefano; Bassi, Claudio; Salvia, Roberto; Piccoli, Micaela; Pederzoli, Paolo
- Abstract
Background/Aims: Histological diagnosis between ductal and endocrine carcinoma is imperative in patients with advanced and unresectable pancreatic malignancies because of the different treatment modalities and prognoses. Whenever percutaneous and endoscopic ultrasound-guided pancreatic fine needle aspiration (FNA) fails to obtain a diagnostic specimen, a laparoscopic approach may be employed. Methods: Between October 2002 and July 2004, 19 patients with demonstrated unresectable pancreatic cancer underwent laparoscopy to obtain a cytohistological diagnosis. Results: The mean operative time was 83 min. Laparoscopy showed the presence of liver metastases in 15 patients that were correctly diagnosed by preoperative imaging in only 8 cases (53%). Overall 5 pancreatic FNA and 16 liver and peritoneal biopsies were obtained. In 1 patient the procedure was abandoned due to hypercapnia. In 16 patients (84%) a cytohistological diagnosis was obtained. There were no mortalities. Conclusions: Laparoscopic biopsy of advanced unresectable pancreatic cancer is a feasible, safe and reliable procedure to obtain a cytohistological diagnosis whenever ultrasound-guided FNA fails. Copyright © 2007 S. Karger AG, Basel
- Subjects
LAPAROSCOPY; PANCREATIC cancer diagnosis; CANCER; BIOPSY; CLINICAL pathology
- Publication
Digestive Surgery, 2007, Vol 24, Issue 1, p33
- ISSN
0253-4886
- Publication type
Article
- DOI
10.1159/000100916