Top

Surgical Endoscopy

Published in:

01-07-2009

Initial experience with a new laparoscopic ultrasound probe for guided biopsy in the staging of upper gastrointestinal cancer

Authors: Hazem Hassan, Peter Vilmann, Vijay Sharma, Jakob Holm

Published in: Surgical Endoscopy | Issue 7/2009

Abstract

Background

Until recently, laparoscopic ultrasound (LUS)-guided biopsy has been difficult with the available probes on the market. This study aimed to present a new laparoscopic ultrasound probe (Hitachi, EUP-OL531) for guided biopsy and describe its impact on the clinical outcome for patients with upper gastrointestinal (UGI) cancer.

Methods

Patients referred with confirmed UGI cancer from June 2003 to December 2006 were included in the study. After a standard workup including computed tomography, endoscopic ultrasound, and ultrasound of the neck, operable patients underwent LUS with or without fine-needle aspiration (FNA).

Results

From a total of 175 patients, 19 (11%) underwent LUS-guided FNA after a significant lesion was found. The LUS-guided FNA confirmed distant metastasis in 14 of the 19 patients and changed the clinical management for these 14 patients (8%). There were no adverse events due to LUS or LUS-guided FNA.

Conclusion

The current results with the new LUS probe for guided FNA are encouraging in terms of its diagnostic ability, safety, and ease of use.

Rau B, Hunerbein M, Schlag PM (2002) Is there additional information from laparoscopic ultrasound in tumor staging? Dig Surg 19:479–483PubMedCrossRef

Durup Scheel-Hincke J, Mortensen MB, Pless T, Hovendal CP (1999) Laparoscopic ultrasonography: a method for staging of upper gastrointestinal cancer. Eur J Ultrasound 9:177–184PubMedCrossRef

Olsen AK, Bjerkeset OA (1999) Laparoscopic ultrasound (LUS) in gastrointestinal surgery. Eur J Ultrasound 10:159–170PubMedCrossRef

Tang CN, Siu WT, Ka-Wah-Li M (2001) Use of diagnostic laparoscopy and laparoscopic ultrasound in the management of upper gastrointestinal malignancy. Ann Coll Surg HK 5:19–24CrossRef

Giger U, Schafer M, Krahenbuhl L (2002) Technique and value of staging laparoscopy. Dig Surg 19:473–478PubMedCrossRef

Holscher AH, Siewert JR, Fink U (1995) Staging concepts for gastrointestinal malignancies: the importance of preoperative locoregional T and N staging. Gastrointest Endosc Clin North Am 5:529–533

Feussner H, Kraemer SJ, Siewart JR (1994) Technik der laparoskopischen ultraschalluntersuchung bei der diagnostischen laparoskopie. Langenbecks Arch Chir 379:248–254PubMedCrossRef

Shandall A, Johnson C (1985) Laparoscopy or scanning in oesophageal and gastric carcinoma. Br J Surg 72:449–451PubMedCrossRef

Mortensen MB, Durup J, Pless T, Plagborg GJ, Ainsworth AP, Nielsen HO, Hovendal C (2001) Initial experience with new dedicated needles for laparoscopic ultrasound-guided fine-needle aspiration and histological biopsies. Endoscopy 33:585–589PubMedCrossRef

10.

Dijkum EJNV, Witt LTD, Otto MVD, et al (1999) Staging laparoscopy and laparoscopic ultrasound in more than 400 patients with upper gastrointestinal carcinoma. J Am Coll Surg 189:459–465CrossRef

11.

Stein HJ, Kraener SJM, Feussner H, et al (1997) Clinical use of diagnostic lapaproscopy with laparoscopic ultrasound in patients with cancer of the esophagus or cardia. J Gastrointest Surg 1:167–173PubMedCrossRef

12.

Conlon KC, Kaepeh MS et al (1996) Use of LAP-LUS for detection of metastatic disease unappreciated by conventional staging modalities in 31 patients. Semin Oncol 23:347–351PubMed

13.

Koch J, Halvorsen RA (1994) Staging of esophageal cancer: compound tomography, magnetic resonance imaging, and endoscopic ultrasound. Semin Roentgenol 29:364–372PubMedCrossRef

14.

Possik RA, Franco EL, Pires DR, Wohnrath DR, Ferreira EB (1986) Sensitivity, specificity, and predictive value of laparoscopy for the staging of gastric cancer and for the detection of liver metastases. Cancer 58:1–6PubMedCrossRef

15.

Kriplani AK, Kapur ML (1991) Laparoscopy for preoperative staging and assessment of operability in gastric carcinoma. Gastrointest Endosc 37:441–443PubMedCrossRef

16.

Catheline JM, Turner R, Rizk Nm, Barrat C, Champault G (1999) The use of diagnostic laparoscopy supported by laparoscopic ultrasonography in the assessment of pancreatic cancer. Surg Endosc 13:239–245PubMedCrossRef

17.

Hünerbein M, Rau B, Hohenberger P, Schlag PM (2001) Zum stellenwert der laparoskopischen sonographie fur das staging gastrointestinal tumoren. Chirurg 72:914–919PubMedCrossRef

Title: Initial experience with a new laparoscopic ultrasound probe for guided biopsy in the staging of upper gastrointestinal cancer
Authors: Hazem Hassan
Peter Vilmann
Vijay Sharma
Jakob Holm
Publication date: 01-07-2009
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 7/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-009-0336-3

At a glance: The STEP trials

Springer Medicine

Initial experience with a new laparoscopic ultrasound probe for guided biopsy in the staging of upper gastrointestinal cancer

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 7/2009

News and Notices

Endoscopic thyroidectomy in China

A model for longitudinal mentoring and telementoring of laparoscopic colon surgery

Neonatal minimally invasive surgery for congenital diaphragmatic hernias: a multicenter study using thoracoscopy or laparoscopy

Transumbilical single-incision laparoscopic intracorporeal anastomosis for gastrojejunostomy: case report

Computed tomographic measurements of mesh shrinkage after laparoscopic ventral incisional hernia repair with an expanded polytetrafluoroethylene mesh