{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,24]],"date-time":"2025-08-24T23:07:48Z","timestamp":1756076868340},"reference-count":40,"publisher":"Index Copernicus","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2021,2,6]]},"abstract":"<jats:p>A\u0130M\nStaging laparoscopy enables us to perform palliative treatment, neo-adjuvant therapy for curative resection or direct curative resection and making a decision with minimal morbidity by avoiding from unnecessary laparotomies. In the present study, the importance of staging lapafoscopy was retrospectively investigated by using clinical and pathologic data.\n \nMETHODS\nData of 70 out of 350 patients who underwent diagnostic laparoscopy due to gastric cancer at Surgical Oncology department between August 2013 and January 2020 were retrospectively analyzed. \nRESULTS\nPeritoneal biopsy was positive for malignity in 41 (58.5%) and negative in 29 (41.5%) of the patients who underwent SL. Peritoneal cytology (PC) results were negative in 32 (45.7%) patients and positive in 38 (54.3%) patients. Peritoneal biopsy and cytology results were concurrently positive in 35 patients and concurrently negative in 26 patients.\nCONCLUS\u0130ONS\nIn conclusion, even the most developed imaging methods cannot provide 100% staging, therefore SL plays an important role in treatment of gastric cancer and laparoscopic staging is essential as a simple, inexpensive, safe and well tolerated method in patients who have the suspicion of peritoneal disease and who cannot be clearly evaluated with pre-operative methods.\n\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0014.7360","type":"journal-article","created":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T11:33:15Z","timestamp":1620214395000},"page":"1-8","source":"Crossref","is-referenced-by-count":1,"title":["The role of laparoscopic staging for the management of gastric cancer"],"prefix":"10.5604","volume":"93","author":[{"given":"Cemil","family":"Y\u00fcksel","sequence":"first","affiliation":[{"name":"University of Health Science, Ankara Abdurrahman Yurtaslan Oncology Training and Research Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Og\u00fcn","family":"Er\u015fen","sequence":"additional","affiliation":[{"name":"Ankara University School of Medicine Department of Surgical Oncology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"salim ilksen","family":"basceken","sequence":"additional","affiliation":[{"name":"Diyarbak\u0131r Gazi Ya\u015fargil Research Hospital Surgical Oncology Clinic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00fcmit","family":"mercan","sequence":"additional","affiliation":[{"name":"Ankara University School of Medicine, Department of Surgical Oncology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00f6mer","family":"yalk\u0131n","sequence":"additional","affiliation":[{"name":"Bursa State Hospital Surgical Oncology Clinic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serdar","family":"Culcu","sequence":"additional","affiliation":[{"name":"University of Health Science, Ankara Abdurrahman Yurtaslan Oncology Training and Research Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Batuhan","family":"Bak\u0131rarar","sequence":"additional","affiliation":[{"name":"Ankara University School of Medicine Department of Biostatistics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sancar","family":"Bayar","sequence":"additional","affiliation":[{"name":"Ankara University School of Medicine, Department of Surgical Oncology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Ekrem","family":"\u00dcnal","sequence":"additional","affiliation":[{"name":"Ankara University School of Medicine Department of Surgical Oncology"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salim","family":"Demirci","sequence":"additional","affiliation":[{"name":"Ankara University School of Medicine, Department of Surgical Oncology"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"212929r1","doi-asserted-by":"crossref","unstructured":"Siegel R., Naishadham D., Jemal A.: Cancer statistics, 2012. CA Cancer J Clin., 2012; 62(1): 10\u201329.","DOI":"10.3322\/caac.20138"},{"key":"212929r2","doi-asserted-by":"crossref","unstructured":"D'Angelica M., Gonen M., Brennan M.F. et al.: Patterns of initial recurrence in completely resected gastric adenocarcinoma. Ann Surg., 2004; 240(5): 808\u2013816.","DOI":"10.1097\/01.sla.0000143245.28656.15"},{"key":"212929r3","doi-asserted-by":"crossref","unstructured":"Power D.G., Schattner M.A., Gerdes H. et al.: Endoscopic ultrasound can improve the selection for laparoscopy in patients with localized gastric cancer. J Am Coll Surg., 2009; 208(2): 173\u2013178.","DOI":"10.1016\/j.jamcollsurg.2008.10.022"},{"key":"212929r4","doi-asserted-by":"crossref","unstructured":"Allum W.H., Blazeby J.M., Griffin S.M. et al.: Guidelines for the management of oesophageal and gastric cancer. Gut, 2011; 60(11): 1449\u20131472.","DOI":"10.1136\/gut.2010.228254"},{"key":"212929r5","doi-asserted-by":"crossref","unstructured":"Blackshaw G.R., Barry J.D., Edwards P. et al.: Laparoscopy significantly improves the perceived preoperative stage of gastric cancer. Gastric Cancer, 2003; 6(4): 225\u2013229.","DOI":"10.1007\/s10120-003-0257-0"},{"key":"212929r6","unstructured":"Popova T., Korzhenski\u012d F., Aleksandrova M.: The use of laparoscopy in the staging of stomach cancer. Voprosy onkologii, 1987; 33(10): 75\u201378."},{"key":"212929r7","doi-asserted-by":"crossref","unstructured":"Yano M., Tsujinaka T., Shiozaki H. et al.: Appraisal of treatment strategy by staging laparoscopy for locally advanced gastric cancer. World J Surg., 2000; 24(9): 1130\u20131136.","DOI":"10.1007\/s002680010183"},{"key":"212929r8","doi-asserted-by":"crossref","unstructured":"Iwasaki Y., Sasako M., Yamamoto S. et al.: Phase II study of preoperative chemotherapy with S\u20101 and cisplatin followed by gastrectomy for clinically resectable type 4 and large type 3 gastric cancers (JCOG0210). J Surg Oncol., 2013; 107(7): 741\u2013745.","DOI":"10.1002\/jso.23301"},{"key":"212929r9","doi-asserted-by":"crossref","unstructured":"Nakagawa S., Nashimoto A., Yabusaki H.: Role of staging laparoscopy with peritoneal lavage cytology in the treatment of locally advanced gastric cancer. Gastric Cancer, 2007; 10(1): 29\u201334.","DOI":"10.1007\/s10120-006-0406-3"},{"key":"212929r10","doi-asserted-by":"crossref","unstructured":"Burbidge S., Mahady K., Naik K.: The role of CT and staging laparoscopy in the staging of gastric cancer. Clin Radiol, 2013; 68(3): 251\u2013255.","DOI":"10.1016\/j.crad.2012.07.015"},{"key":"212929r11","doi-asserted-by":"crossref","unstructured":"Gross E., Bancewicz J., Ingram G.: Assessment of gastric cancer by laparoscopy. Br Med J (Clin Res Ed), 1984; 288(6430): 1577.","DOI":"10.1136\/bmj.288.6430.1577"},{"key":"212929r12","doi-asserted-by":"crossref","unstructured":"Katayama H., Ito S., Sano T. et al.: A Phase II study of systemic chemotherapy with docetaxel, cisplatin, and S-1 (DCS) followed by surgery in gastric cancerpatients with extensive lymph node metastasis: Japan Clinical Oncology Group study JCOG1002. Jpn J Clin Oncol. 2012; 42(6): 556\u2013559.","DOI":"10.1093\/jjco\/hys054"},{"key":"212929r13","doi-asserted-by":"crossref","unstructured":"Possik R.A., Franco E.L., Pires D.R., Wohnrath D.R., Ferreira E.B.: Sensitivity, specificity, and predictive value of laparoscopy for the staging of gastric cancer  and for the detection of liver metastases. Cancer, 1986; 58(1): 1\u20136.","DOI":"10.1002\/1097-0142(19860701)58:1<1::AID-CNCR2820580102>3.0.CO;2-K"},{"key":"212929r14","doi-asserted-by":"crossref","unstructured":"Leake P.-A., Cardoso R., Seevaratnam R. et al.: A systematic review of the accuracy and indications for diagnostic laparoscopy prior to curative-intent resection of gastric cancer. Gastric Cancer, 2012; 15(1): 38\u201347.","DOI":"10.1007\/s10120-011-0047-z"},{"key":"212929r15","doi-asserted-by":"crossref","unstructured":"Lehnert T., Rudek B., Kienle P., Buhl K., Herfarth C.: Impact of diagnostic laparoscopy on the management of gastric cancer: prospective study of 120 consecutive patients with primary gastric adenocarcinoma. Br J Surg, 2002; 89(4): 471\u2013475.","DOI":"10.1046\/j.0007-1323.2002.02067.x"},{"key":"212929r16","doi-asserted-by":"crossref","unstructured":"Sarela A.I., Miner T.J., Karpeh M.S. et al.: Clinical outcomes with laparoscopic stage M1, unresected gastric adenocarcinoma. Ann Surg, 2006; 243(2): 189\u2013195.","DOI":"10.1097\/01.sla.0000197382.43208.a5"},{"key":"212929r17","doi-asserted-by":"crossref","unstructured":"Roviello F., Marrelli D., de Manzoni G. et al.: Prospective study of peritoneal recurrence after curative surgery for gastric cancer. Br J Surg., 2003; 90(9): 1113\u20131119.","DOI":"10.1002\/bjs.4164"},{"key":"212929r18","doi-asserted-by":"crossref","unstructured":"Tsuburaya A., Mizusawa J., Tanaka Y. et al.: Neoadjuvant chemotherapy with S1 and cisplatin followed by D2 gastrectomy with para\u2010aortic lymph node dissection for gastric cancer with extensive lymph node metastasis. Br J Surg., 2014; 101(6): 653\u2013660.","DOI":"10.1002\/bjs.9484"},{"key":"212929r19","doi-asserted-by":"crossref","unstructured":"Fujitani K., Yang H.-K., Mizusawa J. et al.: Gastrectomy plus chemotherapy versus chemotherapy alone for advanced gastric cancer with a single non-curable factor (REGATTA): a phase 3, randomised controlled trial. Lancet Oncol, 2016; 17(3): 309\u2013318.","DOI":"10.1016\/S1470-2045(15)00553-7"},{"key":"212929r20","unstructured":"Tanizawa Y., Terashima M., Tokunaga M. et al.: Conversion therapy of stage IV gastric cancer. Gan To Kagaku Ryoho, 2012: 39(13): 2469\u20132473."},{"key":"212929r21","unstructured":"Edge S.B., Amin M.B., Greene F. et al.: AJCC cancer staging manual. Springer, New York 2010."},{"key":"212929r22","doi-asserted-by":"crossref","unstructured":"Wilkiemeyer M., Bieligk S.C., Ashfaq R. et al.: Laparoscopy alone is superior to peritoneal cytology in staging gastric and esophageal carcinoma. Surg Endosc., 2004; 18(5): 852\u2013856.","DOI":"10.1007\/s00464-003-8828-z"},{"key":"212929r23","doi-asserted-by":"crossref","unstructured":"Pearlstone D.B., Feig B.W., Mansfield P.F.: Port site recurrences after laparoscopy for malignant disease. Semin. Surg. Oncol., 1999; 16(4): 307\u2013312.","DOI":"10.1002\/(SICI)1098-2388(199906)16:4<307::AID-SSU5>3.0.CO;2-5"},{"key":"212929r24","doi-asserted-by":"crossref","unstructured":"Lee S., Ryu K.W., Eom B.W. et al.: Prognostic significance of peritoneal washing cytology in patients with gastric cancer. Br J Surg., 2012; 99(3): 397\u2013403.","DOI":"10.1002\/bjs.7812"},{"key":"212929r25","doi-asserted-by":"crossref","unstructured":"Lorenzen S., Panzram B., Rosenberg R. et al.: Prognostic significance of free peritoneal tumor cells in the peritoneal cavity before and after neoadjuvant chemotherapy in patients with gastric carcinoma undergoing potentially curative resection. Ann Surg Oncol., 2010; 17(10): 2733\u20132739.","DOI":"10.1245\/s10434-010-1090-4"},{"key":"212929r26","doi-asserted-by":"crossref","unstructured":"Badgwell, B., Cormier J.N., Krishnan S. et al.: Does neoadjuvant treatment for gastric cancer patients with positive peritoneal cytology at staging laparoscopy improve survival? Ann Surg Oncol., 2008; 15(10): 2684\u20132691.","DOI":"10.1245\/s10434-008-0055-3"},{"key":"212929r27","doi-asserted-by":"crossref","unstructured":"Makuuchi R., Yamaguchi T., Takashima A. et al.: The impact of pre-operative chemotherapy in patients with peritoneal lavage cytology positive or localized peritoneum metastasis for gastric cancer: A multicenter retrospective study. J Clin Oncol 2018; 36(4): 95.","DOI":"10.1200\/JCO.2018.36.4_suppl.95"},{"key":"212929r28","doi-asserted-by":"crossref","unstructured":"Chuwa E.W.L., Khin L.-W., Chan W.-H., Ong H.-S., Wong W.-K: Prognostic significance of peritoneal lavage cytology in gastric cancer in Singapore. Gastric Cancer, 2005; 8(4): 228\u2013237.","DOI":"10.1007\/s10120-005-0343-6"},{"key":"212929r29","unstructured":"Kodera Y.: Gastric cancer with minimal peritoneal metastasis: is this a sign to give up or to treat more aggressively? Nagoya J Med Sci., 2013; 75(1\u20132): 3."},{"key":"212929r30","doi-asserted-by":"crossref","unstructured":"Ishigami H., Kitayama J., Otani K. et al.: Phase I pharmacokinetic study of weekly intravenous and intraperitoneal paclitaxel combined with S-1 for advanced gastric cancer. Oncology, 2009; 76(5): 311\u2013314.","DOI":"10.1159\/000209277"},{"key":"212929r31","doi-asserted-by":"crossref","unstructured":"Ishigami H., Kitayama J., Kaisaki S. et al.: Phase II study of weekly intravenous and intraperitoneal paclitaxel combined with S-1 for advanced gastric cancer with peritoneal metastasis. Ann Oncol, 2010; 21(1): 67\u201370.","DOI":"10.1093\/annonc\/mdp260"},{"key":"212929r32","doi-asserted-by":"crossref","unstructured":"Bentrem D., Wilton A., Mazumdar M. et al.: The value of peritoneal cytology as a preoperative predictor in patients with gastric carcinoma undergoing a curative resection. Ann Surg Oncol, 2005; 12(5): 347\u2013353.","DOI":"10.1245\/ASO.2005.03.065"},{"key":"212929r33","doi-asserted-by":"crossref","unstructured":"Benevolo M., Mottolese M., Cosimelli M. et al.: Diagnostic and prognostic value of peritoneal immunocytology in gastric cancer. J Clin Oncol, 1998; 16(10): 3406\u20133411.","DOI":"10.1200\/JCO.1998.16.10.3406"},{"key":"212929r34","doi-asserted-by":"crossref","unstructured":"Irino T., Sano T., Hiki N. et al.: Diagnostic staging laparoscopy in gastric cancer: a prospective cohort at a cancer institute in Japan. Surg Endosc, 2018; 32(1): 268\u2013275.","DOI":"10.1007\/s00464-017-5673-z"},{"key":"212929r35","doi-asserted-by":"crossref","unstructured":"Hosogi H., Shinohara H., Tsunoda S. et al.: Staging laparoscopy for advanced gastric cancer: significance of preoperative clinicopathological factors. Langenbecks Arch Surg., 2017; 402(1): 33\u201339.","DOI":"10.1007\/s00423-016-1536-7"},{"key":"212929r36","doi-asserted-by":"crossref","unstructured":"Ikoma N., Blum M., Chiang Y.-J. et al.: Yield of staging laparoscopy and lavage cytology for radiologically occult peritoneal carcinomatosis of gastric cancer. Ann Surg Oncol, 2016; 23(13): 4332\u20134337.","DOI":"10.1245\/s10434-016-5409-7"},{"key":"212929r37","doi-asserted-by":"crossref","unstructured":"Miki Y., Tokunaga M., Tanizawa Y. et al.: Staging laparoscopy for patients with cM0, type 4, and large type 3 gastric cancer. World J Surg., 2015; 39(11): 2742\u20132747.","DOI":"10.1007\/s00268-015-3144-z"},{"key":"212929r38","doi-asserted-by":"crossref","unstructured":"Ishigami S., Uenosono Y., Arigami T. et al.: Clinical utility of perioperative staging laparoscopy for advanced gastric cancer. World J Surg Oncol, 2014; 12(1): 350.","DOI":"10.1186\/1477-7819-12-350"},{"key":"212929r39","unstructured":"Yamagata Y., Amikura K., Kawashima Y. et al.: Staging laparoscopy in advanced gastric cancer: usefulness and issues requiring improvement. Hepatogastroenterology, 2013; 60(124): 751."},{"key":"212929r40","doi-asserted-by":"crossref","unstructured":"Emoto S., Ishigami H., Yamashita H. et al.: Clinical significance of CA125 and CA72-4 in gastric cancer with peritoneal dissemination. Gastric Cancer, 2012; 15(2): 154\u2013161","DOI":"10.1007\/s10120-011-0091-8"}],"container-title":["Polish Journal of Surgery"],"original-title":[],"deposited":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T11:33:47Z","timestamp":1620214427000},"score":1,"resource":{"primary":{"URL":"https:\/\/ppch.pl\/gicid\/01.3001.0014.7360"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,6]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2,11]]}},"URL":"https:\/\/doi.org\/10.5604\/01.3001.0014.7360","relation":{},"ISSN":["0032-373X","2299-2847"],"issn-type":[{"value":"0032-373X","type":"print"},{"value":"2299-2847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,6]]}}}