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首页> 外文期刊>Surgical Endoscopy >Immediate preoperative laparoscopic staging for squamous cell carcinoma of the esophagus.
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Immediate preoperative laparoscopic staging for squamous cell carcinoma of the esophagus.

机译：食管鳞状细胞癌术前立即进行腹腔镜分期。

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BACKGROUND: Conventional preoperative staging for esophageal carcinoma could be inaccurate. Laparoscopy has been applied for the staging of various upper gastrointestinal malignancies. It can identify peritoneal and liver deposits not shown by imaging, and could reduce the number of nontherapeutic laparotomies. This study aimed to evaluate the efficacy of laparoscopic staging for the management of squamous cell carcinoma involving the mid and distal esophagus. METHODS: A retrospective review was performed for all patients with esophageal cancer evaluated for surgical resection from January 1998 to January 2004. Laparoscopy was performed for all the patients with mid and distal esophageal cancer immediately before open gastric mobilization. The efficacy of laparoscopy for the management of squamous cell carcinoma of the esophagus was evaluated. RESULTS: Among the 63 patients with potentially resectable disease shown on conventional imaging, 54 (84%) underwent esophagectomy with curative intent after laparoscopic staging. Seven patients (11%) underwent laparoscopy alone because of abdominal metastases (n = 5) or other medical conditions (n = 2) that precluded esophagectomy. Two patients (3%) had exploratory right thoracotomy without esophagectomy despite normal laparoscopic findings. The sensitivity and specificity of laparoscopic staging were 100% in this series of patients (100% sensitivity and specificity means no false-positives or -negatives). CONCLUSION: Laparoscopic staging is valuable for the management of patients with mid and distal squamous cell carcinoma of the esophagus. Patients with metastatic disease and those with prohibitive surgical risk can thus avoid unnecessary laparotomy and be offered other treatment methods.
机译：背景：常规的食管癌术前分期可能不准确。腹腔镜检查已用于各种上消化道恶性肿瘤的分期。它可以识别影像学未显示的腹膜和肝脏沉积物，并可以减少非治疗性腹腔镜手术的数量。本研究旨在评估腹腔镜分期对食管中，远端食管鳞状细胞癌的治疗效果。方法：对1998年1月至2004年1月经手术切除评估的所有食道癌患者进行回顾性回顾。对所有中，远端食道癌患者在开放式胃动员前即行腹腔镜检查。评估了腹腔镜检查在食管鳞状细胞癌治疗中的功效。结果：在常规影像学检查显示的63例潜在可切除疾病患者中，有54例（84％）在进行腹腔镜分期后接受了食管切除术，具有治愈意图。由于腹部转移（n = 5）或其他医疗条件（n = 2）导致无法进行食管切除术的患者中，有7例（11％）仅接受了腹腔镜检查。尽管腹腔镜检查结果正常，但两名患者（3％）在未进行食管切除的情况下进行了探索性右胸切开术。在这一系列患者中，腹腔镜分期的敏感性和特异性为100％（敏感性和特异性为100％意味着无假阳性或阴性）。结论：腹腔镜分期对食管中，远端鳞状细胞癌的治疗具有重要意义。因此，患有转移性疾病和手术风险高的患者可以避免不必要的剖腹手术，并提供其他治疗方法。

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