Portal de Periódicos da CAPES

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

2018; Volume: 11; Issue: 3 Linguagem: Inglês

10.5005/jp-journals-10033-1350

0975-1955

Meenakshi Yeola, Dilip Gode, Akshay Bora,

Pancreatic and Hepatic Oncology Research

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.