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The current role of laparoscopy and laparoscopic ultrasound in staging and palliation in upper gastrointestinal malignancies /

Maher Hasan Ibraheem

The current role of laparoscopy and laparoscopic ultrasound in staging and palliation in upper gastrointestinal malignancies / دور المنظار الجراحى والموجات فوق الصوتية عن طريق المنظار فى تحديد مرحلة أورام الجهاز الهضمى العليا وكذلك العلاج التلطيفى لها Maher Hasan Ibraheem ; Supervised Waheed Yousry Gareer , Osama Ahmed Mohamed Elmalt , Mohamed Gamil Abdelmenem - Cairo : Maher Hasan Ibraheem , 2014 - 150 P. : charts , facsimiles ; 25cm

Thesis (Ph.D.) - Cairo University - National Cancer Institute - Department of Oncology - Surgical

Surgical resection of upper gastrointestinal malignancies sometimes carries significant morbidity due to inaccurate pre - operative staging. The potential to prevent unnecessary laparotomy by means of accurate staging is the driving force behind the use of diagnostic laparoscopy (DL). Laparoscopy plays a complementary role with the pre - operative radiological investigation in the accurate staging of these tumors. DL. can visualize the primary tumor, identify hepatic or nodal metastases and detect small - volume peritoneal disease undetected by other noninvasive staging modalities. The procedure also facilitates obtaining biopsies and aspiration cytology. Laparoscopic ultrasound (LUS) can detect hepatic metastases not detected by the conventional pre operative imaging. Palliative procedures such as laparoscopic gastric bypass and laparoscopic celiac plexus block to treat intractable pain can also be performed



Laparoscopic ultrasound (LUS) Staging laparoscopy (SL) Upper gastrointestinal malignancies