Staging laparotomy in Hodgkin's disease: a community hospital experience.
Between 1977 and 1984, 50 patients with Hodgkin's disease underwent a staging laparotomy performed by nine surgeons in a community hospital. Adequate procedures were performed in 80% of cases compared to staging laparotomies done between 1969 and 1976 when only 40% were properly performed. Abdominal lymphangiogram had a false-negative rate of 0 but a false positive rate of 70%. Clinical stage III disease was significantly downstaged at laparotomy (65% of cases). Postoperative complication rate was 4% and there were no operative deaths. A subset of patients not requiring laparotomy have been identified. Because the quality of staging laparotomy and lymphangiography was variable, we encourage all centres treating patients with Hodgkin's disease to review their own experience with these techniques before making individual patient treatment decisions.
Jones
A R
AR
Department of Internal Medicine, Foothills Hospital, University of Calgary, Alberta, Canada.
Ruether
J D
JD
Ruether
B A
BA
D000416:Alberta; D005069:Evaluation Studies as Topic; D006689:Hodgkin Disease / Q000473:pathology*; D006764:Hospitals, Community; D006801:Humans; D007813:Laparotomy; D008207:Lymphatic Metastasis; D008220:Lymphography; D009367:Neoplasm Staging; D012189:Retrospective Studies