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276596

Does Preoperative Laparoscopy for Gastrointestinal Tract Cancer Staging Alter Surgical Strategy? A Prospective Cohort Study

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Last updated: 03 Jan 2025

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Abstract

Background: Laparoscopic staging has been shown in several recent trials to minimize the necessity for exploratory laparotomy significantly among gastrointestinal (GIT) tract cancers. Objective: Studying the importance of laparoscopy in the staging of GIT cancers to be classified as resectable or unresectable, which helps avoid an unwanted laparotomy and its morbidities. Subjects and Methods: At GIT, Liver and Laparoscopy Unit, General Surgery Department of Zagazig University Hospitals, 24 patients with proven gastrointestinal tract carcinoma were recruited. Patients were subjected to preoperative laparoscopic staging under general anesthesia for different GIT cancers found. Pathological examination was done and compared with the computed tomography (CT) and laparoscopy results with regard to the efficacy of staging Results: The receiver operating characteristic (ROC) curve analysis of CT results in comparison with pathological results was performed to assess the sensitivity and specificity of CT concerning the efficacy of staging. The area under the ROC curve (AUC) was 0.789, the sensitivity was 80% and specificity was 78.9%. The ROC curve analysis of preoperative laparoscopic in comparison with pathological results was performed to assess the sensitivity and specificity of CT concerning the efficacy of staging. The AUC of ROC was 0.763, the sensitivity was 80.0% and specificity was 73.7%. The laparoscopy was significant in assessing resectability with sensitivity of 88.2%, specificity of 85.7%, negative predictive value (NPV) of 75% and positive predictive value (PPV) of 93.8% with accuracy of 87.5% Conclusion: Preoperative laparoscopy is considered a golden key in the staging of GIT cancers (to be classified as resectable or unresectable). Moreover, we found that this benefit aids in preventing the need for a laparotomy.

DOI

10.21608/ejhm.2022.276596

Authors

First Name

Tamer A. A. M.

Last Name

Habeeb

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Affiliation

General Surgery Department, Faculty of Medicine, Faculty of Medicine, Zagazig University, Egypt

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First Name

Nizar Abraheem Amhimmid

Last Name

Razeeq

MiddleName

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Affiliation

General Surgery Department, Faculty of Medicine, Faculty of Medicine, Zagazig University, Egypt

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Orcid

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First Name

Emad Salah, Sameh Mohamed

Last Name

Naguib

MiddleName

-

Affiliation

General Surgery Department, Faculty of Medicine, Faculty of Medicine, Zagazig University, Egypt

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Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-12-28

Publish Date

2022-10-01

Page Start

7,489

Page End

7,496

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_276596.html

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https://ejhm.journals.ekb.eg/service?article_code=276596

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206

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Does Preoperative Laparoscopy for Gastrointestinal Tract Cancer Staging Alter Surgical Strategy? A Prospective Cohort Study

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Article

Created At

22 Jan 2023