Laparoscopy for diagnosis and staging of hepatobiliary malignancies

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dc.contributor.author Abdalla, Eddie
dc.contributor.author Aloia, Thomas
dc.contributor.author Vauthey, Nicolas
dc.date.accessioned 2015-11-11T10:34:39Z
dc.date.available 2015-11-11T10:34:39Z
dc.date.copyright 2005
dc.date.issued 2015-11-11
dc.identifier.issn 1744-1625 en_US
dc.identifier.uri http://hdl.handle.net/10725/2530
dc.description.abstract Objective: To review the role of diagnostic laparoscopy (DL) for staging of malignant diseases of the liver and biliary tract. Methodology: Critical review of the current literature. Results: Analysis of the utility of DL in hepatobiliary cancers depends on several criteria, particularly in the era of high quality prelaparotomy and pre-DL imaging. Selection criteria for DL, selection criteria for resection, definition of resectability, patterns of intra- and extrahepatic spread, association with underlying liver disease and frequency of indications for palliative laparotomy impact the utility of DL depending on the disease studied. Conclusions: DL has a very limited role for staging patients with colorectal liver metastases as a result of expanding definitions of resectability, multistage approaches to bilateral metastases, and methods to increase resectability such as portal vein embolization and preoperative chemotherapy. For hepatocellular carcinoma, DL can be useful for staging patients with advanced tumours and cirrhosis, and might have an emerging role for the evaluation of transplant candidates with equivocal imaging findings. For biliary cancers, DL is indicated for patients with advanced stage hilar cholangiocarcinoma and gall bladder carcinoma. en_US
dc.language.iso en en_US
dc.title Laparoscopy for diagnosis and staging of hepatobiliary malignancies en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 201100945 en_US
dc.author.woa N/A en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Surgical Practice en_US
dc.journal.volume 9 en_US
dc.journal.issue 3 en_US
dc.article.pages 78-89 en_US
dc.keywords Biliary en_US
dc.keywords Hepatobiliary en_US
dc.keywords Laparoscopy en_US
dc.keywords Liver en_US
dc.keywords Staging en_US
dc.identifier.doi http://dx.doi.org/10.1111/j.1744-1633.2005.00263.x en_US
dc.identifier.ctation Abdalla, E. K., Aloia, T. A., & Vauthey, J. N. (2005). Laparoscopy for diagnosis and staging of hepatobiliary malignancies. Surgical Practice, 9(3), 78-89. en_US
dc.author.email tgzreik@lau.edu.lb
dc.identifier.url http://onlinelibrary.wiley.com/doi/10.1111/j.1744-1633.2005.00263.x/full

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