caa a22 4500 475781201 CHVBK 20180406123644.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s004640001024 doi (NATIONALLICENCE)springer-10.1007/s004640001024 The role of laparoscopy in preoperative staging of esophageal cancer [Elektronische Daten] [E. I. Heath, H. S. Kaufman, M. A. Talamini, T.T. Wu, J. Wheeler, R. F. Heitmiller, L. Kleinberg, S. C. Yang, K. Olukayode, A. A. Forastiere] Background: Diagnostic laparoscopy has been used to determine resectability and to prevent unnecessary laparotomy in patients with advanced esophageal cancer. The objective of this prospective study was to evaluate the role of laparoscopy in conjunction with computed tomography (CT) scan in staging patients with esophageal cancer. Methods: From March 1995 to October 1998, 59 patients with biopsy-proven esophageal cancer underwent diagnostic laparoscopy with concurrent vascular access device and feeding jejunostomy tube placement. Results: Laparoscopy changed the treatment plan in 10 of 59 patients (17%). Of the patients with normal-appearing regional or celiac nodes, 78% were confirmed by biopsy to be tumor free, whereas 76% of patients with abnormal-appearing nodes were confirmed by biopsy to have node-positive disease. Conclusions: Diagnostic laparoscopy is useful for detecting and confirming nodal involvement and distant metastatic disease that potentially would alter treatment and prognosis in patients with esophageal cancer. Springer-Verlag New York Inc., 2000 Key words: Esophageal cancer — Laparoscopy — Staging nationallicence Heath E. I. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut Kaufman H. S. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut Talamini M. A. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut Wu T.T. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut Wheeler J. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut Heitmiller R. F. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut Kleinberg L. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut Yang S. C. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut Olukayode K. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut Forastiere A. A. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut Surgical Endoscopy Springer-Verlag 14/5(2000-05-01), 495-499 0930-2794 14:5<495 2000 14 464 https://doi.org/10.1007/s004640001024 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640001024 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Heath E. I. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut NATIONALLICENCE 700 1- Kaufman H. S. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut NATIONALLICENCE 700 1- Talamini M. A. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut NATIONALLICENCE 700 1- Wu T.T. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut NATIONALLICENCE 700 1- Wheeler J. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut NATIONALLICENCE 700 1- Heitmiller R. F. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut NATIONALLICENCE 700 1- Kleinberg L. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut NATIONALLICENCE 700 1- Yang S. C. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut NATIONALLICENCE 700 1- Olukayode K. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut NATIONALLICENCE 700 1- Forastiere A. A. Department of Medical Oncology, Johns Hopkins Oncology Center, 1650 Orleans Street, G89, Baltimore, MD 21231, USA, US aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/5(2000-05-01), 495-499 0930-2794 14:5<495 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer