Staging Laparoscopy

ISBN-13: 9783540656326 / Angielski / Twarda / 2002 / 181 str.

Daniel F. Heinz; Peter Hohenberger; Kevin Conlon

Opis

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.

Recenzje

From the reviews:

"This multi-author book has been championed by the authors who are from Berlin and New York respectively. It is probably the most comprehensive book on staging laparoscopy. ... The strength of the book is the wealth of collated experience from dedicated surgical oncologists and their multi-disciplinary teams. ... The information presented in this book is the best we have. Those surgeons running mainly GIT oncological practices should read it and try to apply what is relevant to their practices." (D. B. Bizos, SAJS - South African Journal of Surgery, Vol. 41 (3), 2003)

Spis treści

Basic Aspects.- Technical Aspects of Pneumoperitoneum and Gasless Laparoscopy.- Laparoscopy with Pneumoperitoneum.- Gas.- Gas Pressure.- Complications of Laparoscopy with Pneumoperitoneum.- Laparoscopic Surgery Without Pneumoperitoneum.- Intra-abdominal Retraction Systems.- Subcutaneous Retraction Systems.- References.- Equipment and Strategies of Staging Laparoscopy.- Historical Perspective.- Set-Up and Equipment.- Future Directions.- References.- Pathophysiological Aspects of the Pneumoperitoneum.- Historical Aspects.- Complications During Laparoscopic Procedures.- Changes in Hepatoportal Blood Flow.- Changes in Renal Blood Flow and Function.- Alterations of the Cardiopulmonary System.- Hemodynamic Changes to the Lower Limbs.- References.- Risk of Port Site Métastases.- Literature Review.- International Survey.- Metastases of Nonapparent Gallbladder Cancer.- Metastases of Colorectal Cancer.- Metastases of Other Carcinomas.- Discussion.- References.- Results and Strategies of Clinical Applications: Gastrointestinal Tract.- Staging Laparoscopy for Esophageal Cancer.- General Therapeutic Approach to Esophageal Cancer.- Staging Methods and Requirements.- Operative Technique of Staging Laparoscopy for Esophageal Cancer.- The Sequence of Explorative Steps.- Regions of Interest.- Assessment of Resectability.- Assessment of Visuable Lesions.- Peritoneal Spread.- Assessment of Nonvisuable Lesions.- Lymph Node Metastases.- Liver.- References.- The Role of Laparoscopy in the Staging of Gastric Cancer.- Technique.- Results.- Hospital Stay, Morbidity, and Mortality.- Economic Considerations.- Distal Esophagus and Gastroesophageal Junction.- T Stage (category).- N Stage (category).- M Stage (category).- Distal Cancers.- Resectability.- T Stage (category).- N Stage (category).- M Stage (category).- Peritoneal Cytology.- Optimal Staging Technique in Gastric Cancer.- The Effect of Laparoscopic Staging on Tumor Management.- Conclusions.- References.- Extended Diagnostic Laparoscopy in Gastric Cancer.- Indication for EDL in Gastric Cancer.- Technique.- Practical Aspects of EDL.- Diagnostic Yield of EDL.- Modification of the Tumor Stage by Laparoscopy.- Inspection of the Lesser Sac.- Laparoscopic Ultrasound.- Detection of Liver Metastases.- Assessment of Peritoneal Spread.- Infliction of Adjacent Organs.- Comparison of Prelaparoscopic and Laparoscopic Staging with Intraoperative Findings.- Discussion.- References.- Laparoscopic Staging for Pancreatic Malignancy.- Goal of Laparoscopic Staging.- The Role of CT in the Staging of Pancreatic Malignancy.- The Early Experience with Laparoscopy for Pancreatic Malignancy.- The Memorial Sloan-Kettering Experience.- Management Algorithm.- The Technique of Extended Laparoscopic Staging.- Laparoscopic Ultrasound.- Palliative Bypass.- Is There a Role for Prophylactic Bypass?.- Length of Stay.- Cost of Laparoscopic Staging.- Summary.- References.- Laparoscopic Ultrasonography for Staging of Gastrointestinal Cancer.- Equipment.- Examination Technique.- Results.- Gastroesophageal Cancer.- Pancreatic Cancer.- Hepatic Metastases and Hepatocellular Carcinoma.- Summary.- References.- Further Results and Strategies of Clinical Application.- Contribution to Initial Staging and Assessment of Treatment Results in Gynecologic Cancers.- Overview.- Ovarian Neoplasms.- Adnexal Mass.- Preoperative Evaluation.- Reproductive-Age Patients.- Postmenopausal Patients.- Second-Look Laparoscopy.- Cervical Neoplasms.- Laparoscopy in the Treatment of Early-Stage Disease.- Laparoscopically Assisted Radical Vaginal Hysterectomy.- Laparoscopic Radical Hysterectomy.- Laparoscopic Staging of Advanced-Stage Disease.- Endometrial Neoplasms.- Laparoscopically Assisted Surgical Staging.- Complications.- Conclusion.- References.- Indications in Urologic Tumors.- Laparoscopy in Urologic Oncology.- Laparoscopy and Prostate Cancer.- Laparoscopic Node Dissection: Applications in Other Malignancies.- Testicular Cancer.- Laparoscopy and the Kidney.- References.- Is There Any Role for the Laparoscopic Staging of Urologie Malignancies?.- Prostate Cancer.- Technique of Laparoscopic Pelvic Lymphadenectomy.- Testicular Cancer.- Technique of Laparoscopic Retroperitoneal Lymphadenectomy.- Role of Laparoscopy for Staging of Transitional Cell Carcinoma of the Bladder and Upper Urinary Tract.- Renal Cancer.- Penile Cancer.- Discussion.- Role of Laparoscopy for Staging of Prostate Cancer.- Role of Laparoscopy for Staging of Testicular Cancer.- Role of Laparoscopy for Staging of Transitional Cell Carcinoma of the Bladder and Upper Urinary Tract.- Conclusions.- References.- Impact of Laparoscopy in Malignant Lymphomas.- and Background.- Role of Laparoscopy in Diagnosis.- Laparoscopic Biopsy After Previous Attempts.- Staging.- Residual Disease.- Impact on Treatment.- Technical Aspects.- Conclusion and Future Directions.- References.