{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T07:58:00Z","timestamp":1772265480817,"version":"3.50.1"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","issue":"6","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: avaliar se a laparoscopia com lavado peritoneal \u00e9 superior \u00e0 tomografia computadorizada para o estadiamento do adenocarcinoma g\u00e1strico e se pode modificar a conduta cir\u00fargica do paciente.  M\u00e9todos: estudo retrospectivo de 46 pacientes portadores de adenocarcinoma g\u00e1strico tratados pela equipe de cirurgia digestiva do Hospital de Cl\u00ednicas de Passo Fundo (RS), de janeiro de 2015 a dezembro de 2018, e submetidos \u00e0 laparoscopia com lavado peritoneal pr\u00e9-operat\u00f3rio. Todos os pacientes foram submetidos ao estadiamento cl\u00ednico pr\u00e9-operat\u00f3rio com tomografia computadorizada.  Resultados: dos 46 pacientes analisados, a maioria apresentava tumores localizados na c\u00e1rdia (34,8%), pouco diferenciados (69,6%) e do subtipo c\u00e9lulas em anel de sinete (65,2%). Em 91,3% deles a tomografia computadorizada n\u00e3o identificou carcinomatose peritoneal ou met\u00e1stases \u00e0 dist\u00e2ncia. Entre estes pacientes com tomografia computadorizada negativa para doen\u00e7a \u00e0 dist\u00e2ncia, 21,8% apresentaram lavado peritoneal positivo para c\u00e9lulas neopl\u00e1sicas e tiveram suas condutas terap\u00eauticas modificadas.  Conclus\u00e3o: a laparoscopia e o lavado peritoneal alteraram a decis\u00e3o cir\u00fargica em 21,8% dos pacientes, proporcionando um estadiamento pr\u00e9-operat\u00f3rio mais fidedigno no adenocarcinoma g\u00e1strico.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192314","type":"journal-article","created":{"date-parts":[[2020,1,31]],"date-time":"2020-01-31T09:26:45Z","timestamp":1580462805000},"source":"Crossref","is-referenced-by-count":2,"title":["Laparoscopia e lavado peritoneal no pr\u00e9-operat\u00f3rio do adenocarcinoma g\u00e1strico: podemos modificar a conduta?"],"prefix":"10.1590","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5769-6123","authenticated-orcid":false,"given":"Jorge Roberto Marcante","family":"Carlotto","sequence":"first","affiliation":[{"name":"Hospital de Cl\u00ednicas de Passo Fundo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1074-1040","authenticated-orcid":false,"given":"Fernanda Marcante","family":"Carlotto","sequence":"additional","affiliation":[{"name":"Universidade de Passo Fundo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcos Dal","family":"Vesco Neto","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Pastorello","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Passo Fundo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas Duda","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Passo Fundo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juarez Antonio","family":"Dal-Vesco","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Passo Fundo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1007\/PL00011681","article-title":"Japanese Classification of Gastric Carcinoma 2nd English Edition","volume":"1","year":"1998","journal-title":"Gastric Cancer"},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1080\/08941939.2016.1247930","article-title":"The importance of extensive intraoperative peritoneal lavage as a promising method in patients with gastric cancer showing positive peritoneal cytology without overt peritoneal metastasis and other therapeutic approaches","volume":"30","author":"Ilhan E","year":"2017","journal-title":"J Invest Surg"},{"issue":"7","key":"ref3","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1016\/S0046-8177(98)90279-9","article-title":"Genetic pattern, histological structure, and cellular phenotype in early and advanced gastric cancers: evidence for structure-related genetic subsets and for loss of glandular structure during progression of some tumors","volume":"29","author":"Luinetti O","year":"1998","journal-title":"Hum Pathol"},{"key":"ref4","first-page":"912418","article-title":"The treatment of peritoneal carcinomatosis in advanced gastric cancer: state of the art","volume":"2014","author":"Montori G","year":"2014","journal-title":"Int J Surg Oncol"},{"issue":"2","key":"ref5","first-page":"82","article-title":"Carcinomatose peritoneal em c\u00e2ncer g\u00e1strico: diagn\u00f3stico, manejo e conduta","volume":"39","author":"Debon LM","year":"2018","journal-title":"Acta M\u00e9d. 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