USEFULNESS OF DIAGNOSTIC LAPAROSCOPY OVER CECT ABDOMEN IN ASSESSING OPERABILITY IN GASTROINTESTINAL MALIGNANCY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 56
Abstract
BACKGROUND New advancement in CT scan has greatly helped the surgeons in accurately staging gastrointestinal malignancies and planning its treatment protocols. In this era of minimal invasive surgery, direct vision of the intraabdominal malignancies taking FNAC or biopsy of tumour and assessing its operability can avoid some of the shortcomings of CECT abdomen. It may further help in modifying the treatment protocol for a particular patient if the CECT finding does not match with that of biopsy report or direct laparoscopic assessment of tumour. Here the aim of the study was to find out the overall accuracy of diagnostic laparoscopy abdomen in assessing the operability in cases of gastrointestinal malignancies. METHODS This was a prospective study of total 40 patients with gastrointestinal malignancy, where all the patients were evaluated by CECT abdomen and found fit to undergo definite surgical procedure. All the patients were subjected to diagnostic and staging laparoscopy to assess the operability at Kalinga Institute of Medical Sciences between August 2012 and November 2014. RESULTS On preoperative diagnostic staging laparoscopy, it was found that out of 40 cases who were having CECT criteria of operability, 8 had metastatic disease, 8 had unresectable tumour due to local tumour ingrowth and one had benign disease on lap. Assisted tumour biopsy. Also palliative procedures like feeding jejunostomy in two patients with advanced cancer stomach. CONCLUSION Routine preoperative diagnostic and staging laparoscopy helped us in detecting advanced disease in significant no. of patient which otherwise was missed in CECT evaluation. Therefore, in our opinion it should be practiced routinely for staging GI malignancy either just before the planned surgery or as a separate diagnostic procedure. It should be added to the investigation modality to detect operability in GI malignancy
Authors and Affiliations
Amaresh , Subrat Mohanty, Madhabananda , Sakti Sahoo, Sanjeet , Arttatrana
Keywords
Related Articles
- EP ID EP101788
- DOI 10.14260/jemds/2016/877
- Views 96
- Downloads 0
EPIDEMIOLOGY OF ADULT MEASLES IN NORTH KERALA
BACKGROUND Measles is an acute viral infection characterised by fever, cough, rhinorrhoea, conjunctival congestion and maculopapular rash. Disease occurs as epidemic and it is described from all countries. The precise in...
IMPROVED SURGICAL OUTCOME OF ENDONASAL DCR WITH PRESERVATION OF NASAL MUCOSAL FLAPS
BACKGROUND Dacryocystorhinostomy (DCR) has distinct advantage over external DCR. It is a highly evolving endoscopic procedure of management of dacryocystitis. It is a surgery in which a fistulous tract is created between...
DYNAMIC CERVICAL MR IMAGING FINDINGS OF PATIENTS WITH HIRAYAMA DISEASE IN A TERTIARY CARE HOSPITAL OF NORTH-EAST INDIA
BACKGROUND Juvenile muscular atrophy of the distal upper limb (Hirayama disease) is a rare disease, predominantly affecting the anterior horn cells of the cervical spinal cord in young men. Most studies of Hirayama disea...
STUDY OF MORPHOLOGICAL VARIATIONS OF THYROID GLAND IN ADULT HUMAN CADAVERS
BACKGROUND The thyroid is a highly vascular gland situated in front of the neck. It consists of two symmetrical lobes united by an isthmus that lie in front of 2nd, 3rd and 4th tracheal rings. The thyroid gland is the fi...
A COMPARATIVE STUDY OF THE ANALGESIC EFFECT OF TWO DOSES OF NALBUPHINE AS AN ADJUVANT TO BUPIVACAINE IN BRACHIAL PLEXUS BLOCK
BACKGROUND Various adjuvants augment efficacy of local anaesthetics by reducing dose, adverse reactions and prolonging postoperative analgesia. Nalbuphine, as an adjuvant in peripheral nerve blocks, especially Supraclavi...