Evaluation of Staging Laparoscopy in Colorectal Cancer Assessment | ||
| Suez Canal University Medical Journal | ||
| Article 8, Volume 22, Issue 2, October 2019, Pages 164-169 PDF (735.15 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/scumj.2019.116047 | ||
| Authors | ||
| Ahmed Hassan* ; Mohammed Elkerkary; Mohamed Gamal; Mahmoud Gamal; Ahmed Gomaa; Islam Khaled | ||
| Department of General Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt | ||
| Abstract | ||
| Background: The goal of staging laparoscopy in primary gastrointestinal malignancies is to examine any local, regional, and/or metastatic disease in order to determine the stage of the presenting malignancy, and thus, the possibility of performing a curative resection. This study aimed to evaluate the role of staging laparoscopy in preoperative assessment of colorectal cancer patients. Subjects and Method:this is a cross-sectional study, conducted at Suez Canal University hospital. A total of 26 patients with colorectal cancer were enrolled and had a CT scanning with contrast and staging laparoscopy as a step in the preoperative assessment of their disease. Results: Staging laparoscopy of these patients revealed metastatic spread in 10 cases (38%). Both pelvi-abdominal CT and staging laparoscopy had equally high specificity for metastatic diseases (99%). However, regarding the sensitivity, staging laparoscopy was superior to pelvi-abdominal CT in detecting the presence of metastatic disease in general (83% vs 66%, p=0.026). Conclusion: staging laparoscopy is a valuable tool in evaluating colorectal cancer patients preoperatively. Future studies should be conducted on a higher number of patients in order to detect the actual value of staging laparoscopy in detecting metastatic spread. | ||
| Keywords | ||
| colorectal cancer; computed tomography; staging laparoscopy; metastasis | ||
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