World Journal of Laparoscopic Surgery

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VOLUME 11 , ISSUE 3 ( September-December, 2018 ) > List of Articles

Original Article

Evaluation of Abdominal Malignancies by Minimal Access Surgery: Our Experience in a Rural Setup in Central India

Meenakshi E Yeola (Pate), Dilip Gode, Akshay K Bora

Keywords : Diagnostic, Laparoscopy, Metastatic, Nontherapeutic laparotomy, Unresectability

Citation Information : Yeola (Pate) ME, Gode D, Bora AK. Evaluation of Abdominal Malignancies by Minimal Access Surgery: Our Experience in a Rural Setup in Central India. World J Lap Surg 2018; 11 (3):115-120.

DOI: 10.5005/jp-journals-10033-1350

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: A diagnostic surprise or finding a tumor unresectable at laparotomy is an undesirable situation for every surgeon. A surgeon should never regret for having done a laparotomy on a patient which otherwise was avoidable. Many surgeons worldwide have had challenging experiences of facing an uncertain diagnosis or staging of abdominal malignancies. History-taking, physical examination, laboratory tests, and advanced noninvasive imaging studies might provide some help but are insufficient for accurate diagnosis and staging of abdominal tumors. Aim: To assess the role of diagnostic staging laparoscopy in abdominal malignancies. Objectives: To evaluate the role of laparoscopy as a diagnostic tool in abdominal malignancies. To compare the findings of laparoscopy with noninvasive imaging modalities. To assess the efficacy of laparoscopy as a definitive tool in the evaluation of staging and operability before definitive intervention. Materials and methods: This is a prospective observational study with a sample size of 250 patients. The study duration was 3.5 years from July 2013 to October 2016 and was conducted at Acharya Vinoba Bhave Rural Hospital (AVBRH), Sawangi (Meghe), Wardha. Results: Due to the use of diagnostic laparoscopy, out of 250 cases of abdominal malignancies, in 120 (48%) patients, nontherapeutic laparotomy could be avoided. Conclusion: This study highlights the emphatic utility of diagnostic laparoscopy procedures in staging and management of abdominal malignancy. Laparoscopic evaluation of a patient with intra-abdominal malignancies is a desirable tool against imaging modalities in improving the detection of metastatic disease and accurate staging of the disease process.


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