[Role of exploratory laparoscopy in hepato-biliary malignancies].
In patients with hepatic or biliary malignancy which is presumed by pre-operative studies to be resectable, exploratory laparoscopy permits the avoidance of laparotomy in 20-50% of cases. This approach diminishes operative time, hospital stay, delay in starting chemotherapy, and cost. It is particularly appropriate for those maladies where it has the best yield: 1) cancer of the gallbladder; 2) hilar cholangiocarcinoma Stage T2-T3; and: 3) hepatic metastasis of colorectal cancer or hepatocellular cancer with poor prognostic features.
Fuks
D
D
Service de chirurgie digestive et viscérale, Centre hospitalier universitaire, Amiens.
Regimbeau
J-M
JM
D018281:Cholangiocarcinoma / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000473:pathology*; D003362:Cost-Benefit Analysis; D019317:Evidence-Based Medicine; D005706:Gallbladder Neoplasms / Q000601:surgery*; D006760:Hospitalization / Q000191:economics; D006801:Humans; D010535:Laparoscopy / Q000191:economics; D007813:Laparotomy / Q000191:economics; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D009367:Neoplasm Staging