کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3270308 | 1208220 | 2006 | 4 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Combined endoscopic and laparoscopic ultrasound as preoperative assessment of patients with pancreatic cancer
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
غدد درون ریز، دیابت و متابولیسم
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چکیده انگلیسی
BackgroundAn accurate preâtherapeutic assessment of the resectability in pancreatic cancer patients is essential to reduce the number of futile surgical explorations. The aim of this study was to assess the combination of endoscopic ultrasound (EUS) and laparoscopic ultrasound (LUS) regarding the detection of patients with nonâresectable tumours. Patients and methods. From 2002 to 2004, 179 consecutive patients with pancreatic cancer referred for surgical treatment were eligible. Thirtyâone (17%) patients were excluded due to coâmorbidity and poor performance status. Two patients (1%) were excluded due to metastasis seen on CT scans prior to referral. Thus, 146 patients entered the study. Patients were first examined with EUS followed by LUS, if EUS found no signs of nonâresectability. Only patients with tumours found to be resectable or possibly resectable at EUS and LUS were offered surgical treatment. Resectability criteria were defined prior to the studyResultsIn all, 108 (74%) patients had nonâresectable tumours by the preâdefined criteria. EUS identified 68 (63%) patients and LUS identified an additional 26 (24%) patients. Thus, a total of 94 (87%) patients were nonâresectable at either EUS or LUS. Fiftyâtwo (36%) patients underwent surgery. Six patients had surgical exploration and three patients had palliative surgery. Fortyâthree patients (29%) were resected with curative intention, of whom 38 (88%) had an R0 resection and 5 (12%) had a palliative resection. DiscussionThe combination of EUS and LUS is accurate in identifying the nonâresectable patients and has a high predictive value for complete resection
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: HPB - Volume 8, Issue 1, February 2006, Pages 57-60
Journal: HPB - Volume 8, Issue 1, February 2006, Pages 57-60
نویسندگان
C.W. Fristrup, M.B. Mortensen, T. Pless, J. Durup, A. Ainsworth, C. Hovendal, H.O. Nielsen,