Biopsy and Staging—Technical Issues

  • David W. Easter
  • Robert Michaelson


The safe and accurate staging of known or suspected cancer is a paramount concern of the surgeon and patient. Treatment decisions are necessarily based on this critical information. Unless a patient is known to already harbor widespread metastatic disease, laparoscopicdirected biopsy and staging should be considered early in the evaluation of every abdominal malignancy.


Core Needle Laparoscopic Staging Minimal Access Clinical Vignette Nondominant Hand 
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  1. 1.
    Cushieri A. Diagnosis and staging of tumors by laparoscopy. Semin Laparosc Surg 1994; 1: 3–12.Google Scholar
  2. 2.
    Easter DW, Nathanson L, Lavelle Jones M, Cuschieri A. The utility of diagnostic laparoscopy for abdominal disorders: audit of 120 patients. Arch Surg 1992; 127: 379–383.PubMedCrossRefGoogle Scholar
  3. 3.
    Ilson DH, Bains M, Ginsberg RJ, Kelsen DP. Neoadjuvant therapy of esophageal cancer. Surg Oncol Clin North Am 1997; 6: 723–740.Google Scholar
  4. 4.
    Gunning VE. The history of laparoscopy. J Re-prod Med 1974; 12: 223–226.Google Scholar
  5. 5.
    Abaev CK. Laparoscopy in the diagnosis of stomach cancer. Vopr Onkol 1965; 11: 5–12.Google Scholar
  6. 6.
    Asencio-Arana F. Laparoscopic access to the lesser sac in gastric cancer staging. Surg Laparosc 1994; 4: 438–440.Google Scholar
  7. 7.
    Bogen GL, Mancino AT, Scott-Conner CEH. Laparoscopy for staging and palliation of gastrointestinal malignancy. Surg Clin North Am 1996; 76: 557–569.PubMedCrossRefGoogle Scholar
  8. 8.
    Conlon KC, Dougherty E, Klimstra DS, et al. The value of minimal access surgery in the staging of patients with potentially resectable peripancreatic cancer. Ann Surg 1996; 223: 134–140.PubMedCrossRefGoogle Scholar
  9. 9.
    Cuesta MA, Meijer S, Borgstein PJ. Laparoscopy and assessment of digestive tract cancer. Br J Surg 1992; 79: 486–487.PubMedCrossRefGoogle Scholar
  10. 10.
    Fernandez-del Castillo C, Rattner DW, Warshaw AL. Further experience with laparoscopy and peritoneal cytology in the staging of pancreatic cancer. Br J Surg 1995; 82: 1127–1129.CrossRefGoogle Scholar
  11. 11.
    Kriplani AK, Kapur BML. Laparoscopy for preoperative staging and assessment of operability in gastric carcinoma. Gastrointest Endosc 1991; 37: 441–443.PubMedCrossRefGoogle Scholar
  12. 12.
    Michelassi F, Erroi F, Dawson PJ, et al. Experience with 647 consecutive tumors of the duodenum, ampulla, head of the pancreas and distal common bile duct. Ann Surg 1989; 210: 544–546.PubMedCrossRefGoogle Scholar
  13. 13.
    Molloy RG, McCourtney JS, Anderson JR. Laparoscopy in the management of patients with cancer of the gastric cardia and esophagus. Br J Surg 1995; 82: 352–354.PubMedCrossRefGoogle Scholar
  14. 14.
    Stell DA, Carter CR, Stewart I, Anderson JR. Prospective comparison of laparoscopy, ultrasonography and computed tomography in the staging of gastric cancer. Br J Surg 1996; 83: 1260–1262.PubMedCrossRefGoogle Scholar
  15. 15.
    Trede M. The surgical treatment of pancreatic carcinoma. Surgery 1985; 97: 28–35.PubMedGoogle Scholar
  16. 16.
    Warshaw AL, Gu Z-Y, Wittenberg J, Waltman AC. Preoperative staging and assessment of resectability of pancreatic cancer. Arch Surg 1990; 125: 230–233.PubMedCrossRefGoogle Scholar
  17. 17.
    Watt I, Stewart I, Anderson D, et al. Laparoscopy, ultrasound and computed tomography in cancer of the oesophagus and gastric cardia: a prospective comparison for detecting intra-abdominal metastases. Br J Surg 1989; 76: 1036–1039.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • David W. Easter
  • Robert Michaelson

There are no affiliations available

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