{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,16]],"date-time":"2024-07-16T04:41:26Z","timestamp":1721104886025},"reference-count":16,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2014,5,5]],"date-time":"2014-05-05T00:00:00Z","timestamp":1399248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,5,5]],"date-time":"2014-05-05T00:00:00Z","timestamp":1399248000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Intra\u2010abdominal malignancies often pose diagnostic problems to surgeons in resource\u2010challenged centers such as ours due to limitations in modern imaging and other facilities. This prompted the adoption of laparoscopy in our hospital as an adjunctive tool in diagnosing these conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Pre\u2010 and per\u2010operative data of consecutive cases of clinically unresolved advanced intra\u2010abdominal tumors subjected to laparoscopy from January 2009 through June 2013 were reviewed. Anatomic diagnosis and tissue biopsies were carried out during the procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 152 patients seen with intra\u2010abdominal tumors, 74 (48.7 %) had advanced conditions that could not be resolved clinically. Of these, 33 (44.6 %) were able to afford and had computed tomography (CT), scan while the remaining (<jats:italic>N<\/jats:italic> = 41; 55.4 %) less endowed only had an ultrasound scan. This cohort underwent laparoscopic evaluation, and biopsies confirmed the following: 27 (36.5 %) metastatic adenocarcinomas, 12 (16.2 %) primary hepatic malignancies, 11 (14.9 %) cases each of lymphomas and colonic adenocarcinomas, 4 (5.4 %) gastrointestinal stromal tumors, 3 (4.1 %) pancreatic carcinomas, 2 (2.7 %) cases each of carcinoid tumors and abdominal tuberculosis, and one case each of schistosomiasis and HIV\u2010related Kaposi\u2019s sarcoma. Additionally, 26 (35.1 %) had ascites, while 29 (39.1 %) had peritoneal surface malignancies. With local adaptations and improvisations, laparoscopy was cheaper than an abdominal CT scan in our setting, with the additional benefit of obtaining tissue diagnosis to institute treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although laparoscopy is commonly used for staging intra\u2010abdominal tumors, we found it useful in complementing clinical diagnosis and attaining histopathological confirmation in a setting where access to and funding of modern imaging is limited.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-014-2618-8","type":"journal-article","created":{"date-parts":[[2014,5,4]],"date-time":"2014-05-04T16:53:06Z","timestamp":1399222386000},"page":"2519-2524","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of Introduction of Laparoscopic Surgery on Management of Unresolved Intra\u2010Abdominal Malignancies in a West African Hospital"],"prefix":"10.1002","volume":"38","author":[{"given":"Adewale O.","family":"Adisa","sequence":"first","affiliation":[{"name":"Department of Surgery Obafemi Awolowo University Obafemi Awolowo University Teaching Hospitals Complex 220005 Ile\u2010Ife Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oladejo O.","family":"Lawal","sequence":"additional","affiliation":[{"name":"Department of Surgery Obafemi Awolowo University Obafemi Awolowo University Teaching Hospitals Complex 220005 Ile\u2010Ife Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul\u2010Rasheed K.","family":"Adesunkanmi","sequence":"additional","affiliation":[{"name":"Department of Surgery Obafemi Awolowo University Obafemi Awolowo University Teaching Hospitals Complex 220005 Ile\u2010Ife Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olusanya","family":"Adejuyigbe","sequence":"additional","affiliation":[{"name":"Department of Surgery Obafemi Awolowo University Obafemi Awolowo University Teaching Hospitals Complex 220005 Ile\u2010Ife Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,5,5]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"149","article-title":"Clinical and histological features of melanoma in adult Nigerians","volume":"31","author":"Atanda AT","year":"2012","journal-title":"West Afr J Med"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2005.06.008"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/PPO.0b013e3181a58e93"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091\u2010255X(00)80099\u20102"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2006.03.015"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010012\u20102463\u20105"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/345298"},{"key":"e_1_2_7_9_2","first-page":"674965","article-title":"Staging laparoscopy in carcinoma of stomach: a comparison with CECT staging","volume":"2013","author":"Kakroo SM","year":"2013","journal-title":"Int J Surg Oncol"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/RLU.0b013e318299609f"},{"key":"e_1_2_7_11_2","unstructured":"Organisation for Economic Co\u2010operation and Development (OECD); (2007)Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) Census. 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