Zusammenfassung
Die diagnostische Laparoskopie stellt den Goldstandard in der Evaluation einer peritonealen Metastasierung dar. Im Vergleich zu den radiologischen Verfahren, wie beispielsweise der Computertomographie oder der Magnetresonanztomographie sind die Sensitivität und Spezifität der Laparoskopie für die Ermittlung peritonealer Metastasen deutlich höher: Sie weist in der Detektion peritonealer Metastasen bei Magenkarzinompatienten eine Sensitivität von 74–100 % und eine Spezifität von 83–100 % auf. Limitationen dieser überlegenen Methode sind die Einschränkung der Beurteilbarkeit durch peritoneale Adhäsionen nach Voroperationen sowie die Invasivität der Methode und die Ausbildung von Trokarmetastasen.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Ajani JA, Barthel JS, Bekaii-Saab T, Bentrem DJ, D’Amico TA, Das P, et al. (2010) Gastric cancer. J Natl Compr Canc Netw 8: 378–409
Allardyce RA, Morreau P, Bagshaw PF (1997) Operative factors affecting tumor cell distribution following laparoscopic colectomy in a porcine model. Dis Colon Rectum 40: 939–945
Arnold JC, Neubauer HJ, Zopf T, Schneider A, Benz C, Adamek HE, et al. (1999) Improved tumor staging by diagnostic laparoscopy. Z Gastroenterol 37: 483–438
Blackshaw GR, Barry JD, Edwards P, Allison MC, Thomas GV, Lewis WG (2003) Laparoscopy significantly improves the perceived preoperative stage of gastric cancer. Gastric Cancer 6: 225–229. doi: 10.1007/s10120–003–0257–0
Chen J, Cheong JH, Yun MJ, Kim J, Lim JS, Hyung WJ, et al. (2005) Improvement in preoperative staging of gastric adenocarcinoma with positron emission tomography. Cancer 103: 2383–2390. doi: 10.1002/cncr.21074
D’Ugo DM, Pende V, Persiani R, Rausei S, Picciocchi A (2003) Laparoscopic staging of gastric cancer: an overview. J Am Coll Surg 196: 965–974. doi: 10.1016/S1072–7515(03)00126–1
Franklin ME Jr, Diaz-E JA, Balli J (2000) Mechanical Means For Prevention of Trocar Site Cancer Implantation. In: Reymond MA, Bonjer GJ, Köckerling F (eds) Port-Site and Wound Recurrences in Cancer Surgery. Springer, Heidelberg, pp 91–97
Hori Y (2008) Committee SG. Diagnostic laparoscopy guidelines : This guideline was prepared by the SAGES Guidelines Committee and reviewed and approved by the Board of Governors of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), November 2007. Surg Endosc 22: 1353–1383. doi: 10.1007/s00464–008–9759–5
Kayaalp C, Arda K, Orug T, Ozcay N (2002) Value of computed tomography in addition to ultrasound for preoperative staging of gastric cancer. Eur J Surg Oncol 28: 540–543
Kim SH, Milsom JW, Gramlich TL, Toddy SM, Shore GI, Okuda J, et al. (1998) Does laparoscopic vs. conventional surgery increase exfoliated cancer cells in the peritoneal cavity during resection of colorectal cancer? Dis Colon Rectum 41: 971–978
Leake PA, Cardoso R, Seevaratnam R, Lourenco L, Helyer L, Mahar A, et al. (2012) A systematic review of the accuracy and indications for diagnostic laparoscopy prior to curative-intent resection of gastric cancer. Gastric Cancer 15 (Suppl 1): S38–S47. doi: 10.1007/s10120–011–0047-z
Lim JS, Kim MJ, Yun MJ, Oh YT, Kim JH, Hwang HS, et al. (2006) Comparison of CT and 18F-FDG pet for detecting peritoneal metastasis on the preoperative evaluation for gastric carcinoma. Korean J Radiol 7: 249–256. doi: 10.3348/kjr.2006.7.4.249
Nakagawa S, Nashimoto A, Yabusaki H (2007) Role of staging laparoscopy with peritoneal lavage cytology in the treatment of locally advanced gastric cancer. Gastric Cancer 10: 29–34. doi: 10.1007/s10120–006–0406–3
Nunez MF, Sardi A, Jimenez W, Nieroda C, Sittig M, MacDonald R, et al. (2015) Port-site metastases is an independent prognostic factor in patients with peritoneal carcinomatosis. Ann Surg Oncol 22: 1267–1273. doi: 10.1245/s10434–014–4136–1
Onate-Ocana LF, Gallardo-Rincon D, Aiello-Crocifoglio V, Mondragon-Sanchez R, de-la-Garza-Salazar J (2001) The role of pretherapeutic laparoscopy in the selection of treatment for patients with gastric carcinoma: a proposal for a laparoscopic staging system. Ann Surg Oncol 8: 624–631
Roviaro GC, Varoli F, Sonnino D, Nucca O, Rabughino G, Scarduelli A (2000) Can routine laparoscopy help to reduce the rate of explorative laparotomies for gastric cancer? Laparoscopy in gastric cancer. Diagn Ther Endosc 6: 125–131. doi: 10.1155/DTE.6.125
Seevaratnam R, Cardoso R, McGregor C, Lourenco L, Mahar A, Sutradhar R, et al. (2012) How useful is preoperative imaging for tumor, node, metastasis (TNM) staging of gastric cancer? A meta-analysis. Gastric Cancer 15 (Suppl 1): S3–S18. doi: 10.1007/s10120–011–0069–6
Shinohara T, Ohyama S, Yamaguchi T, Muto T, Kohno A, Kato Y, et al. (2005) Clinical value of multidetector row computed tomography in detecting lymph node metastasis of early gastric cancer. Eur J Surg Oncol 3: 743–748. doi: 10.1016/j.ejso.2005.03.005
Sotiropoulos GC, Kaiser GM, Lang H, Treckmann J, Brokalaki EI, Pottgen C, et al (2005) Staging laparoscopy in gastric cancer. Eur J Med Res 10: 88–91
Tang L (2016) Controversy and confusion in preoperative imaging precise staging of gastric cancer. Zhonghua Wei Chang Wai Ke Za Zhi 19: 165–169
Yano M, Tsujinaka T, Shiozaki H, Inoue M, Sekimoto M, Doki Y, et al. (2000) Appraisal of treatment strategy by staging laparoscopy for locally advanced gastric cancer. World J Surg 24:1130–1135
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer-Verlag GmbH Deutschland
About this chapter
Cite this chapter
Brandl, A., Rau, B. (2018). Rolle der Laparoskopie in der Diagnostik von Tumoren des Peritoneums. In: Rau, B., Piso, P., Königsrainer, A. (eds) Peritoneale Tumoren und Metastasen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54500-3_4
Download citation
DOI: https://doi.org/10.1007/978-3-662-54500-3_4
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-54499-0
Online ISBN: 978-3-662-54500-3
eBook Packages: Medicine (German Language)