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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
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Minimally Invasive Staging Surgery for Cancer
Noah A Cohen1, Thomas Peter Kingham1
1Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
Surgical Oncology Clinics of North America
|November 12, 2018
Summary
Staging laparoscopy (SL) helps detect hidden cancer spread and assess resectability in gastrointestinal malignancies. This approach can prevent unnecessary surgery, reduce hospital stays, and speed up treatment for selected patients.
Area of Science:
- Surgical oncology
- Gastrointestinal oncology
- Diagnostic laparoscopy
Background:
- Staging laparoscopy (SL) evaluates for occult metastatic disease and local resectability.
- It is utilized in specific gastrointestinal malignancy cases.
- SL can prevent nontherapeutic laparotomies, shortening hospital stays and accelerating systemic therapy initiation.
Purpose of the Study:
- To determine the utility of staging laparoscopy in gastrointestinal malignancies.
- To emphasize careful patient selection due to improved preoperative imaging.
- To provide recommendations for SL use in specific cancer types.
Main Methods:
- Review of current practices and evidence for staging laparoscopy.
- Analysis of patient selection criteria for SL.
- Consideration of SL in distal gastroesophageal, gastric, and hepatopancreatobiliary cancers.
Main Results:
- SL can identify radiographically occult metastatic disease.
- It aids in assessing local resectability.
- SL is associated with improved patient outcomes compared to nontherapeutic laparotomy.
Conclusions:
- Careful patient selection for SL is crucial with advancements in imaging.
- SL and peritoneal washings are recommended for distal gastroesophageal and locally advanced gastric cancer prior to neoadjuvant chemotherapy or resection.
- SL should be considered for select high-risk patients with hepatopancreatobiliary malignancies.
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