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

Research output: Contribution to journalArticle

24 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)495-499
Number of pages5
JournalSurgical Endoscopy
Volume14
Issue number5
DOIs
StatePublished - May 2000
Externally publishedYes

Fingerprint

Esophageal Neoplasms
Laparoscopy
Biopsy
Jejunostomy
Vascular Access Devices
Enteral Nutrition
Abdomen
Laparotomy
Tomography
Prospective Studies
Therapeutics
Neoplasms

Keywords

  • Esophageal cancer
  • Laparoscopy
  • Staging

ASJC Scopus subject areas

  • Surgery

Cite this

Heath, E. I., Kaufman, H. S., Talamini, M. A., Wu, T. T., Wheeler, J., Heitmiller, R. F., ... Forastiere, A. A. (2000). The role of laparoscopy in preoperative staging of esophageal cancer. Surgical Endoscopy, 14(5), 495-499. https://doi.org/10.1007/s004640001024

The role of laparoscopy in preoperative staging of esophageal cancer. / Heath, E. I.; Kaufman, H. S.; Talamini, M. A.; Wu, T. T.; Wheeler, J.; Heitmiller, R. F.; Kleinberg, L.; Yang, S. C.; Olukayode, K.; Forastiere, A. A.

In: Surgical Endoscopy, Vol. 14, No. 5, 05.2000, p. 495-499.

Research output: Contribution to journalArticle

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', Surgical Endoscopy, vol. 14, no. 5, pp. 495-499. https://doi.org/10.1007/s004640001024
Heath EI, Kaufman HS, Talamini MA, Wu TT, Wheeler J, Heitmiller RF et al. The role of laparoscopy in preoperative staging of esophageal cancer. Surgical Endoscopy. 2000 May;14(5):495-499. https://doi.org/10.1007/s004640001024
Heath, E. I. ; Kaufman, H. S. ; Talamini, M. A. ; Wu, T. T. ; Wheeler, J. ; Heitmiller, R. F. ; Kleinberg, L. ; Yang, S. C. ; Olukayode, K. ; Forastiere, A. A. / The role of laparoscopy in preoperative staging of esophageal cancer. In: Surgical Endoscopy. 2000 ; Vol. 14, No. 5. pp. 495-499.
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