{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T20:52:17Z","timestamp":1783975937800,"version":"3.55.0"},"reference-count":32,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  BACKGROUND: Complete surgical resection is the main determining factor in the survival of advanced gastric cancer patients, but is not indicated in metastatic disease. The peritoneum is a common site of metastasis and preoperative imaging techniques still fail to detect it.  AIM: The aim of this study was to evaluate the role of staging laparoscopy in the staging of advanced gastric cancer patients in a Western tertiary cancer center.  METHODS: A total of 130 patients with gastric adenocarcinoma who underwent staging laparoscopy from 2009 to 2020 were evaluated from a prospective database. Clinicopathological characteristics were analyzed to identify factors associated with the presence of peritoneal metastasis and were also evaluated the accuracy and strength of agreement between computed tomography and staging laparoscopy in detecting peritoneal metastasis and the change in treatment strategy after the procedure.  RESULTS: The peritoneal metastasis was identified in 66 (50.76%) patients. The sensitivity, specificity, and accuracy of computed tomography in detecting peritoneal metastasis were 51.5, 87.5, and 69.2%, respectively. According to the Kappa coefficient, the concordance between staging laparoscopy and computed tomography was 38.8%. In multivariate analysis, ascites (p=0.001) and suspected peritoneal metastasis on computed tomography (p=0.007) were statistically correlated with peritoneal metastasis. In 40 (30.8%) patients, staging and treatment plans changed after staging laparoscopy (32 patients avoided unnecessary laparotomy, and 8 patients, who were previously considered stage IVb by computed tomography, were referred to surgical treatment).  CONCLUSION: The staging laparoscopy demonstrated an important role in the diagnosis of peritoneal metastasis, even with current advances in imaging techniques.<\/jats:p>","DOI":"10.1590\/0102-672020220002e1700","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T15:34:33Z","timestamp":1673278473000},"source":"Crossref","is-referenced-by-count":10,"title":["STAGING LAPAROSCOPY IS STILL A VALUABLE TOOL FOR OPTIMAL GASTRIC CANCER MANAGEMENT"],"prefix":"10.1590","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0845-0730","authenticated-orcid":false,"given":"Erica","family":"SAKAMOTO","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo, University Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0200-7858","authenticated-orcid":false,"given":"Marcus Fernando Kodama Pertille","family":"RAMOS","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, University Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6865-0988","authenticated-orcid":false,"given":"Marina Alessandra","family":"PEREIRA","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, University Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3378-4916","authenticated-orcid":false,"given":"Andr\u00e9 Roncon","family":"DIAS","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, University Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1711-7347","authenticated-orcid":false,"given":"Ulysses","family":"RIBEIRO JUNIOR","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, University Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1809-8558","authenticated-orcid":false,"given":"Bruno","family":"ZILBERSTEIN","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, University Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2268-4146","authenticated-orcid":false,"given":"Sergio Carlos","family":"NAHAS","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, University Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"issue":"5","key":"ref1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.6004\/jnccn.2013.0070","article-title":"Gastric cancer, version 2.2013: featured updates to the NCCN Guidelines","volume":"11","author":"Ajani JA","year":"2013","journal-title":"J Natl Compr Canc 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AI","year":"2006","journal-title":"Am J Surg."},{"issue":"4","key":"ref29","first-page":"e1629","article-title":"Salvage surgery in gastric cancer","volume":"34","author":"Sim\u00f5es IBP","year":"2022","journal-title":"ABCD Arq Bras Cir Dig."},{"issue":"Suppl 5","key":"ref30","doi-asserted-by":"crossref","first-page":"v38","DOI":"10.1093\/annonc\/mdw350","article-title":"Gastric cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up","volume":"27","author":"Smyth EC","year":"2016","journal-title":"Ann Oncol."},{"issue":"12","key":"ref31","doi-asserted-by":"crossref","first-page":"2703","DOI":"10.1007\/s00268-011-1290-5","article-title":"Indications for staging laparoscopy in clinical T4M0 gastric cancer","volume":"35","author":"Tsuchida K","year":"2011","journal-title":"World J Surg."},{"key":"ref32","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/s13256-016-0799-5","article-title":"A patient with gastric cancer with peritoneal carcinomatosis treated with intraperitoneal chemotherapy who survived more than 5 years receiving repeated laparoscopic examinations: a case report","volume":"10","author":"Yamaguchi H","year":"2016","journal-title":"J Med Case Rep."}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":["A LAPAROSCOPIA DIAGN\u00d3STICA AINDA \u00c9 UMA FERRAMENTA ESSENCIAL PARA O TRATAMENTO DO C\u00c2NCER G\u00c1STRICO"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-67202022000100348&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T15:34:57Z","timestamp":1673278497000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202022000100348&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":32,"alternative-id":["S0102-67202022000100348"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020220002e1700","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2022]]},"article-number":"e1700"}}