Top

Published in:

01-02-2009 | Review

The role of staging laparoscopy for intraabdominal cancers: an evidence-based review

Authors: L. Chang, D. Stefanidis, W. S. Richardson, D. B. Earle, R. D. Fanelli

Published in: Surgical Endoscopy | Issue 2/2009

Abstract

Diagnostic laparoscopy is minimally invasive surgery for the diagnosis of intraabdominal diseases. The aim of this review is a critical examination of the available literature on the role of laparoscopy for the staging of intraabdominal cancers. A systematic literature search of English-language articles on MEDLINE, the Cochrane database of evidence-based reviews, and the Database of Abstracts of Reviews of Effects was performed for the period 1995–2006. The level of evidence in the identified articles was graded. The search identified and reviewed seven main categories that have received attention in the literature: esophageal cancer, gastric cancer, pancreatic cancer, hepatocellular carcinoma, biliary tract cancer, colorectal cancer, and lymphoma. The indications, contraindications, risks, benefits, diagnostic accuracy of the procedure, and its associated morbidity are discussed. The limitations of the available literature are highlighted, and evidence-based recommendations for the use of laparoscopy to stage intraabdominal cancers are provided.

Guidelines for diagnostic laparoscopy. Retrieved March 25, 2008 at http://www.sages.org/sagespublication.php?doc=12

Krasna MJ, Reed CE, Nedzwiecki D, Hollis DR, Luketich JD, DeCamp MM, Mayer RJ, Sugarbaker DJ CALGB, Surgeons Thoracic (2001) CALGB 9380: a prospective trial of the feasibility of thoracoscopy/laparoscopy in staging esophageal cancer. Ann Thorac Surg 71:1073–1079PubMedCrossRef

Heath EI, Kaufman HS, Talamini MA, Wu TT, Wheeler J, Heitmiller RF, Kleinberg L, Yang SC, Olukayode K, Forastiere AA (2000) The role of laparoscopy in preoperative staging of esophageal cancer. Surg Endosc 14:495–499PubMedCrossRef

Bonavina L, Incarvone R, Lattuada E, Segalin A, Cesana B, Peracchia A (1997) Preoperative laparoscopy in management of patients with carcinoma of the esophagus and of the esophagogastric junction. J Surg Oncol 65:171–174PubMedCrossRef

Romijn MG, van Overhagen H, Spillenaar Bilgen EJ, Ijzermans JN, Tilanus HW, Lameris JS (1998) Laparoscopy and laparoscopic ultrasonography in the staging of oesophageal and cardial carcinoma. Br J Surg 85:1010–1012PubMedCrossRef

Krasna MJ, Jiao X, Mao YS, Sonett J, Gamliel Z, Kwong K, Burrows W, Flowers JL, Greenwald B, White C (2002) Thoracosopy/laparoscopy in the staging of esophageal cancer. Surg Laparosc Endosc Percutan Tech 12:213–218PubMedCrossRef

D’Ugo DM, Pende V, Persiani R, Rausei S, Picciocchi A (2003) Laparoscopic staging of gastric cancer: an overview. J Am Coll Surg 196:965–974PubMedCrossRef

Asencio F, Aguilo J, Salvador JL, Villar A, De la Morena E, Ahamad M, Escrig J, Puche J, Viciano V, Sanmiguel G, Ruiz J (1997) Video-laparoscopic staging of gastric cancer. Surg Endosc 11:1153–1158PubMedCrossRef

Hulscher JBF, Nieveen van Dijkum EJ, de Wit LT, van Delden OM, van Lanschot JJ, Obertop H, Gouma DJ (2000) Laparoscopy and laparoscopic ultrasonography in staging carcinoma of the gastric cardia. Eur J Surg 166:862–865PubMedCrossRef

10.

Gross E, Bancewicz J, Ingram G (1984) Assessment of gastric cancer by laparoscopy. Br Med J 288:1577

11.

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

12.

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

13.

Lowy AM, Mansfield PF, Leach SD, Ajani J (1996) Laparoscopic staging for gastric cancer. Surgery 119:611–614PubMedCrossRef

14.

Burke EC, Karpeh MS, Conlon KC, Brennan MF (1997) Laparoscopy in the management of gastric adenocarcinoma. Ann Surg 225:262–267PubMedCrossRef

15.

Stell DA, Carter CR, Stewart I, Anderson JR (1996) Prospective comparison of laparoscopy, ultrasonography, and computed tomography in the staging of gastric cancer. Br J Surg 86:1260–1262CrossRef

16.

Conlon KC (2001) Staging laparoscopy for gastric cancer. Ann Ital Chir 72:33–37PubMed

17.

Luque-de Leon E, Tsiotos GG, Balsiger B, Barnwell J, Burgart LJ, Sarr MG (1999) Staging laparoscopy for pancreatic cancer should be used to select the best means of palliation and not only to maximize the resectability rate. J Gastrointest Surg 3:111–117PubMedCrossRef

18.

Jimenez RE, Warshaw AL, Rattner DW, Willett CG, McGrath D, Fernandez-Del Castillo C (2000) Impact of laparoscopic staging in the treatment of pancreatic cancer. Arch Surg 135:409–414PubMedCrossRef

19.

Schachter PP, Avni Y, Shimonov M, Gvirtz G, Rosen A, Czerniak A (2000) The impact of laparoscopy and laparoscopic ultrasonography on the management of pancreatic cancer. Arch Surg 135:1303–1307PubMedCrossRef

20.

Minnard EA, Conlon KC, Hoos A, Dougherty EC, Hann LE, Brennan MF (1998) Laparoscopic ultrasound enhances standard laparoscopy in the staging of pancreatic cancer. Ann Surg 228:182–187PubMedCrossRef

21.

Hunerbein M, Rau B, Hohenberger P, Schlag PM (1998) The role of staging laparoscopy for multimodal therapy of gastrointestinal cancer. Surg Endosc 12:921–925PubMedCrossRef

22.

Durup Scheel-Hincke J, Mortensen MB, Qvist N, Hovendal CP (1999) TNM staging and assessment of resectability of pancreatic cancer by laparoscopic ultrasonography. Surg Endosc 13:967–971PubMedCrossRef

23.

Doran HE, Bosonnet L, Connor S, Jones L, Garvey C, Hughes M, Campbell F, Hartley M, Ghaneh P, Neoptolemos JP, Sutton R (2004) Laparoscopy and laparoscopic ultrasound in the evaluation of pancreatic and periampullary tumours. Dig Surg 21:305–313PubMedCrossRef

24.

Pietrabissa A, Caramella D, Di Candio G, Carobbi A, Boggi U, Rossi G, Mosca F (1999) Laparoscopy and laparoscopic ultrasonography for staging pancreatic cancer: critical appraisal. World J Surg 23:998–1002PubMedCrossRef

25.

Awad SS, Colletti L, Mulholland M, Knol J, Rothman ED, Scheiman J, Eckhauser FE (1997) Multimodality staging optimizes resectability in patients with pancreatic and ampullary cancer. Am Surg 63:634–638PubMed

26.

Conlon KC, Dougherty E, Klimstra DS, Coit DG, Turnbull AD, Brennan MF (1996) The value of minimal access surgery in the staging of patients with potentially resectable peripancreatic malignancy. Ann Surg 223:134–140PubMedCrossRef

27.

Vollmer CM, Drebin JA, Middleton WD, Teefey SA, Linehan DC, Soper NJ, Eagon CJ, Strasberg SM (2002) Utility of staging laparoscopy in subsets of peripancreatic and biliary malignancies. Ann Surg 235:1–7PubMedCrossRef

28.

Pisters PW, Lee JE, Vauthey JN, Charnsangavej C, Evans DB (2001) Laparoscopy in the staging of pancreatic cancer (review, 45 references). Br J Surg 88:325–337PubMedCrossRef

29.

Kwon AH, Inui H, Kamiyama Y (2002) Preoperative laparoscopic examination using surgical manipulation and ultrasonography for pancreatic lesions. Endoscopy 34:464–468PubMedCrossRef

30.

Nieveen van Dijkum EJ, Romijn MG, Terwee CB, de Wit LT, van der Meulen JH, Lameris HS, Rauws EA, Obertop H, van Eyck CH, Bossuyt PM, Gouma DJ (2003) Laparoscopic staging and subsequent palliation in patients with peripancreatic carcinoma. Ann Surg 237:66–73PubMedCrossRef

31.

Friess H, Kleeff J, Silva JC, Sadowski C, Baer HU, Buchler MW (1998) The role of diagnostic laparoscopy in pancreatic and periampullary malignancies. J Am Coll Surg 186:675–682PubMedCrossRef

32.

Barreiro CJ, Lillemoe KD, Koniaris LG, Sohn TA, Yeo CJ, Coleman J, Fishman EK, Cameron JL (2002) Diagnostic laparoscopy for periampullary and pancreatic cancer: what is the true benefit? J Gastrointest Surg 6:75–81PubMedCrossRef

33.

Liu RC, Traverso LW (2005) Diagnostic laparoscopy improves staging of pancreatic cancer deemed locally unresectable by computed tomography. Surg Endosc 19:638–642PubMedCrossRef

34.

Holzman MD, Reintgen KL, Tyler DS, Pappas TN (1997) The role of laparoscopy in the management of suspected pancreatic and periampullary malignancies. J Gastrointest Surg 1:236–243PubMedCrossRef

35.

Tilleman EH, de Castro SM, Busch OR, Bemelman WA, van Gulik TM, Obertop H, Gouma DJ (2002) Diagnostic laparoscopy and laparoscopic ultrasound for staging of patients with malignant proximal bile duct obstruction. J Gastrointest Surg 6:426–430PubMedCrossRef

36.

John TG, Wright A, Allan PL, Redhead DN, Paterson-Brown S, Carter DC, Garden OJ (1999) Laparoscopy with laparoscopic ultrasonography in the TNM staging of pancreatic carcinoma. World J Surg 23:870–881PubMedCrossRef

37.

Callery MP, Strasberg SM, Doherty GM, Soper NJ, Norton JA (1997) Staging laparoscopy with laparoscopic ultrasonography: optimizing resectability in hepatobiliary and pancreatic malignancy. J Am Coll Surg 185:33–39PubMed

38.

Bemelman WA, de Wit LT, van Delden OM, Smits NJ, Obertop H, Rauws EJ, Gouma DJ (1995) Diagnostic laparoscopy combined with laparoscopic ultrasonography in staging of cancer of the pancreatic head region (see comment). Br J Surg 82:820–824PubMedCrossRef

39.

Stefanidis D, Grove KD, Schwesinger WH, Thomas CR Jr (2006) The current role of staging laparoscopy for adenocarcinoma of the pancreas: a review. Ann Oncol 17:189–199PubMedCrossRef

40.

Fernandez-del Castillo CL, Warshaw AL (1998) Pancreatic cancer. laparoscopic staging and peritoneal cytology. Surg Oncol Clin North Am 7:135–142

41.

Fernandez-Del Castillo C, Rattner DW, Warshaw AL (1995) Further experience with laparoscopy and peritoneal cytology in the staging of pancreatic cancer. Br J Surg 82:1127–1129PubMedCrossRef

42.

Schmidt J, Fraunhofer S, Fleisch M, Zirngibl H (2004) Is peritoneal cytology a predictor of unresectability in pancreatic carcinoma? Hepatogastroenterology 51:1827–1831PubMed

43.

Liu RC, Traverso LW (2004) Laparoscopic staging should be used routinely for locally extensive cancer of the pancreatic head. J Gastrointest Surg 8:923–924PubMedCrossRef

44.

Shoup M, Winston C, Brennan MF, Bassman D, Conlon KC (2004) Is there a role for staging laparoscopy in patients with locally advanced, unresectable pancreatic adenocarcinoma? J Gastrointest Surg 8:1068–1071PubMedCrossRef

45.

Yoshida T, Matsumoto T, Morii Y, Ishio T, Kitano S, Yamada Y, Mori H (2002) Staging with helical computed tomography and laparoscopy in pancreatic head cancer. Hepatogastroenterology 49:1428–1431PubMed

46.

Morganti AG, Brizi MG, Macchia G, Sallustio G, Costamagna G, Alfieri S, Mattiucci GC, Valentini V, Natale L, Deodato F, Mutignani M, Doglietto GB, Cellini N (2005) The prognostic effect of clinical staging in pancreatic adenocarcinoma. Ann Surg Oncol 12:145–151PubMedCrossRef

47.

Velanovich V (2004) The effects of staging laparoscopy on trocar site and peritoneal recurrence of pancreatic cancer. Surg Endosc 18:310–313PubMedCrossRef

48.

Urbach DR, Swanstrom LL, Hansen PD (2002) The effect of laparoscopy on survival in pancreatic cancer. Arch Surg 137:191–199PubMedCrossRef

49.

Connor S, Bosonnet L, Alexakis N, Raraty M, Ghaneh P, Sutton R, Neoptolemos JP (2005) Serum CA19-9 measurement increases the effectiveness of staging laparoscopy in patients with suspected pancreatic malignancy. Dig Surg 22:80–85PubMedCrossRef

50.

Andren-Sandberg A, Lindberg CG, Lundstedt C, Ihse I (1998) Computed tomography and laparoscopy in the assessment of the patient with pancreatic cancer. J Am Coll Surg 186:35–40PubMedCrossRef

51.

Obertop H, Gouma DJ (1999) Essentials in biliopancreatic staging: a decision analysis. Ann Oncol 10(Suppl 4):150–152PubMedCrossRef

52.

Jarnagin WR, Bodniewicz J, Dougherty E, Conlon K, Blumgart LH, Fong Y (2000) A prospective analysis of staging laparoscopy in patients with primary and secondary hepatobiliary malignancies. J Gastrointest Surg 4:34–43PubMedCrossRef

53.

Lo CM, Lai EC, Liu CL, Fan ST, Wong J (1998) Laparoscopy and laparoscopic ultrasonography avoid exploratory laparotomy in patients with hepatocellular carcinoma. Ann Surg 227:527–532PubMedCrossRef

54.

Foroutani A, Garland AM, Berber E, String A, Engle K, Ryan TL, Pearl JM, Siperstein AE (2000) Laparoscopic ultrasound vs. triphasic computed tomography for detecting liver tumors. Arch Surg 135:933–938PubMedCrossRef

55.

Weber SM, DeMatteo RP, Fong Y, Blumgart LH, Jarnagin WR (2002) Staging laparoscopy in patients with extrahepatic biliary carcinoma. Ann Surg 235:392–399PubMedCrossRef

56.

57.

van Delden OM, de Wit LT, Nieveen van Dijkum EJM, Smits NJ, Gouma DJ, Reeders JW (1997) Value of laparoscopic ultrasonography in staging of proximal bile duct tumors. J Ultrasound Med 16:7–12PubMed

58.

Connor S, Barron E, Wigmore SJ, Madhavan KK, Parks RW, Garden OJ (2005) The utility of laparoscopic assessment in the preoperative staging of suspected hilar cholangiocarcinoma. J Gastrointest Surg 9:476–480PubMedCrossRef

59.

Thaler K, Kanneganti S, Khajanchee Y, Wilson C, Swanstrom L, Hansen PD (2005) The evolving role of staging laparoscopy in the treatment of colorectal hepatic metastasis. Arch Surg 140:727–734PubMedCrossRef

60.

Jarnagin WR, Conlon K, Bodniewicz J, Dougherty E, Dematteo RP, Blumgart LH, Fong Y (2001) A clinical scoring system predicts the yield of diagnostic laparoscopy in patients with potentially resectable hepatic colorectal metastases. Cancer 91:1121–1128PubMedCrossRef

61.

Milsom JW, Jerby BL, Kessler H, Hale JC, Herts BR, O’Malley CM (2000) Prospective, blinded comparison of laparoscopic ultrasonography vs contrast-enhanced computerized tomography for liver assessment in patients undergoing colorectal carcinoma surgery. Dis Colon Rectum 43:44–49PubMedCrossRef

62.

Goletti O, Celon G, Galatioto C, Viaggi B, Lippolis PV, Pieri L, Cavina E (1998) Is laparoscopic sonography a reliable and sensitive procedure for staging colorectal cancer? Surg Endosc 12:1236–1241PubMedCrossRef

63.

Rahusen FD, Cuesta MA, Borgstein PJ, Bleichrodt RP, Barkhof F, Doesburg T, Meijer S (1999) Selection of patients for resection of colorectal metastases to the liver using diagnostic laparoscopy and laparoscopic ultrasonography. Ann Surg 230:31–37PubMedCrossRef

64.

Asoglu O, Porter L, Donohue JH, Cha SS (2005) Laparoscopy for the definitive diagnosis of intraabdominal lymphoma. Mayo Clin Proc 80:625–631PubMedCrossRef

65.

Baccarani U, Carroll BJ, Hiatt JR, Donini A, Terrosu G, Decker R, Chandra M, Bresadola F, Phillips EH (1998) Comparison of laparoscopic and open staging in Hodgkin’s disease. Arch Surg 133:517–522PubMedCrossRef

66.

Silecchia G, Raparelli L, Perrotta N, Fantini A, Fabiano P, Monarca B, Basso N (2003) Accuracy of laparoscopy in the diagnosis and staging of lymphoproliferative diseases. World J Surg 27:653–658PubMedCrossRef

Title: The role of staging laparoscopy for intraabdominal cancers: an evidence-based review
Authors: L. Chang
D. Stefanidis
W. S. Richardson
D. B. Earle
R. D. Fanelli
Publication date: 01-02-2009
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 2/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-008-0099-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The role of staging laparoscopy for intraabdominal cancers: an evidence-based review

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2009

Laparoscopic ventral rectopexy for obstructed defecation syndrome

Colorectal resection, both open and laparoscopic-assisted, in patients with benign indications is associated with proangiogenic changes in plasma angiopoietin 1 and 2 levels

Peroral transgastric endoscopic procedures in pigs: feasibility, survival, questionings, and pitfalls

Primary and overall success rates for clinical outcomes after laparoscopic, endoscopic, and open pancreatic cystgastrostomy for pancreatic pseudocysts

News and Notices

Commentary on transoral access for endoscopic thyroid resection