Using Celioscopy to Determine Stages of Intra-abdominal Malignant Neoplasms

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Abstract
• From January 1973 through June 1974, 23 patients underwent celioscopy to assess the extent of intra-abdominal malignancy. Of the 23 patients in the study, eight were spared a needless exploratory procedure. Three patients had potentially curative surgery after intrahepatic neoplasm suggested by liver scintiscan was excluded by celioscopy. The therapies of eight patients were greatly altered after the extent of hepatic or peritoneal disease was determined. Four patients had no change in treatment as a result of celioscopy. Three additional patients underwent celioscopy to determine the cause of an intra-abdominal mass. No complications occurred in these patients. We conclude that celioscopy prior to a major operative procedure may assist in determining the stage of intra-abdominal malignant disease and may lead to notable changes in patient management. (Arch Surg 111:41-44, 1976)

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