Laparoscopy in combination with laparoscopic ultrasonography is a new staging procedure for tumors of the abdomen. The treatment of several other tumor entities, such as pancreatic and gastric cancer, lymphoma, ovarian cancer, liver malignancies, is also improved by more accurate staging. Laparoscopic staging helps prevent unnecessary laparotomies, provides much less trauma to the patient, maximum information on tumor spread, and enables palliative procedures to be performed during the staging procedure. This book provides detailed guidelines on the aim and technique of laparoscopic staging and discusses the pathophysiological aspects and risks of laparoscopic staging (such as trocar metastases) on the basis of international experience.
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BASIC ASPECTS: Technical aspects of pneumoperitoneum and gasless laparoscopy; Equipment and strategies of staging laparoscopy; Pathophysiological aspects of the pneumoperitoneum; Risk of port site metastases.RESULTS AND STRATEGIES OF CLINICAL APPLICATION: GASTRO-INTESTINAL TRACT: Staging laparoscopy for esophageal cancer; The role of laparoscopy in the staging of gastric cancer; Extended diagnostic laparoscopy in gastric cancer; Laparoscopic staging for pancreatic malignancy; laparoscopic ultrasonography for staging of gastrointestinal cancer. FURTHER FIELDS OF RESULTS AND STRATEGIES OF CLINICAL APPLICATION: Contribution to initial staging and assessment of treatment results in gynecologic cancers; Indications in urologic tumors; Is there any role for the laparoscopic staging of urological malignancies? Impact of laparoscopy in malignant lymphomas.
