The role of laparoscopy in preoperative staging of esophageal cancer

E. I. Heath; H. S. Kaufman; M. A. Talamini; T. T. Wu; J. Wheeler; R. F. Heitmiller; L. Kleinberg; S. C. Yang; K. Olukayode; A. A. Forastiere

doi:10.1007/s004640001024

The role of laparoscopy in preoperative staging of esophageal cancer

E. I. Heath, H. S. Kaufman, M. A. Talamini, T. T. Wu, J. Wheeler, R. F. Heitmiller, L. Kleinberg, S. C. Yang, K. Olukayode, A. A. Forastiere

Laboratory Medicine and Pathology

Research output: Contribution to journal › Article › peer-review

24 Scopus citations

Abstract

Background: Diagnostic laparoscopy has been used to determine resectability and to prevent unnecessary laparotomy in patients with advanced esophageal cancer. The objective of this prospective study was to evaluate the role of laparoscopy in conjunction with computed tomography (CT) scan in staging patients with esophageal cancer. Methods: From March 1995 to October 1998, 59 patients with biopsy-proven esophageal cancer underwent diagnostic laparoscopy with concurrent vascular access device and feeding jejunostomy tube placement. Results: Laparoscopy changed the treatment plan in 10 of 59 patients (17%). Of the patients with normal-appearing regional or celiac nodes, 78% were confirmed by biopsy to be tumor free, whereas 76% of patients with abnormal-appearing nodes were confirmed by biopsy to have node-positive disease. Conclusions: Diagnostic laparoscopy is useful for detecting and confirming nodal involvement and distant metastatic disease that potentially would alter treatment and prognosis in patients with esophageal cancer.

Original language	English (US)
Pages (from-to)	495-499
Number of pages	5
Journal	Surgical endoscopy
Volume	14
Issue number	5
DOIs	https://doi.org/10.1007/s004640001024
State	Published - May 2000

Keywords

Esophageal cancer
Laparoscopy
Staging

ASJC Scopus subject areas

Surgery

Access to Document

10.1007/s004640001024

Cite this

@article{8b97344a00474db3b57e79cbb22f80e2,

title = "The role of laparoscopy in preoperative staging of esophageal cancer",

abstract = "Background: Diagnostic laparoscopy has been used to determine resectability and to prevent unnecessary laparotomy in patients with advanced esophageal cancer. The objective of this prospective study was to evaluate the role of laparoscopy in conjunction with computed tomography (CT) scan in staging patients with esophageal cancer. Methods: From March 1995 to October 1998, 59 patients with biopsy-proven esophageal cancer underwent diagnostic laparoscopy with concurrent vascular access device and feeding jejunostomy tube placement. Results: Laparoscopy changed the treatment plan in 10 of 59 patients (17%). Of the patients with normal-appearing regional or celiac nodes, 78% were confirmed by biopsy to be tumor free, whereas 76% of patients with abnormal-appearing nodes were confirmed by biopsy to have node-positive disease. Conclusions: Diagnostic laparoscopy is useful for detecting and confirming nodal involvement and distant metastatic disease that potentially would alter treatment and prognosis in patients with esophageal cancer.",

keywords = "Esophageal cancer, Laparoscopy, Staging",

author = "Heath, {E. I.} and Kaufman, {H. S.} and Talamini, {M. A.} and Wu, {T. T.} and J. Wheeler and Heitmiller, {R. F.} and L. Kleinberg and Yang, {S. C.} and K. Olukayode and Forastiere, {A. A.}",

year = "2000",

month = may,

doi = "10.1007/s004640001024",

language = "English (US)",

volume = "14",

pages = "495--499",

journal = "Surgical endoscopy",

issn = "0930-2794",

publisher = "Springer New York",

number = "5",

}

TY - JOUR

T1 - The role of laparoscopy in preoperative staging of esophageal cancer

AU - Heath, E. I.

AU - Kaufman, H. S.

AU - Talamini, M. A.

AU - Wu, T. T.

AU - Wheeler, J.

AU - Heitmiller, R. F.

AU - Kleinberg, L.

AU - Yang, S. C.

AU - Olukayode, K.

AU - Forastiere, A. A.

PY - 2000/5

Y1 - 2000/5

N2 - Background: Diagnostic laparoscopy has been used to determine resectability and to prevent unnecessary laparotomy in patients with advanced esophageal cancer. The objective of this prospective study was to evaluate the role of laparoscopy in conjunction with computed tomography (CT) scan in staging patients with esophageal cancer. Methods: From March 1995 to October 1998, 59 patients with biopsy-proven esophageal cancer underwent diagnostic laparoscopy with concurrent vascular access device and feeding jejunostomy tube placement. Results: Laparoscopy changed the treatment plan in 10 of 59 patients (17%). Of the patients with normal-appearing regional or celiac nodes, 78% were confirmed by biopsy to be tumor free, whereas 76% of patients with abnormal-appearing nodes were confirmed by biopsy to have node-positive disease. Conclusions: Diagnostic laparoscopy is useful for detecting and confirming nodal involvement and distant metastatic disease that potentially would alter treatment and prognosis in patients with esophageal cancer.

AB - Background: Diagnostic laparoscopy has been used to determine resectability and to prevent unnecessary laparotomy in patients with advanced esophageal cancer. The objective of this prospective study was to evaluate the role of laparoscopy in conjunction with computed tomography (CT) scan in staging patients with esophageal cancer. Methods: From March 1995 to October 1998, 59 patients with biopsy-proven esophageal cancer underwent diagnostic laparoscopy with concurrent vascular access device and feeding jejunostomy tube placement. Results: Laparoscopy changed the treatment plan in 10 of 59 patients (17%). Of the patients with normal-appearing regional or celiac nodes, 78% were confirmed by biopsy to be tumor free, whereas 76% of patients with abnormal-appearing nodes were confirmed by biopsy to have node-positive disease. Conclusions: Diagnostic laparoscopy is useful for detecting and confirming nodal involvement and distant metastatic disease that potentially would alter treatment and prognosis in patients with esophageal cancer.

KW - Esophageal cancer

KW - Laparoscopy

KW - Staging

UR - http://www.scopus.com/inward/record.url?scp=0033932361&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033932361&partnerID=8YFLogxK

U2 - 10.1007/s004640001024

DO - 10.1007/s004640001024

M3 - Article

C2 - 10858480

AN - SCOPUS:0033932361

SN - 0930-2794

VL - 14

SP - 495

EP - 499

JO - Surgical endoscopy

JF - Surgical endoscopy

IS - 5

ER -

The role of laparoscopy in preoperative staging of esophageal cancer

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this