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Vol - 28, Issue - 06
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[This article belongs to Volume - 28, Issue - 06]
International Medical Journal
Journal ID
:
IMJ-07-08-2021-859
Total View
:
635
Title
:
Evaluation of Role of Preoperative Laparoscopy in abdominal Malignancies
Abstract
: <p>Many surgeons face a challenging situation of uncertain or unexplainable diagnosis while treating the intraabdominal malignancies. Intraoperative surprise or the tumour unrepeatability are the two main situations which an operating surgeon will try to not encounter. The aim of the study is to evaluate the role of preoperative laparoscopy as an additional tool to diagnose, assess staging and operability of intraabdominal malignant tumours. The group consisted of 30 patients with abdominal malignancy diagnosed by radiological criteria were submitted to staging laparoscopy before a planned open exploration and resection. The type of the study is the prospective observational case series. Patients were followed every three monthly. In follow up visits all patients underwent detailed clinical examination for metastasis. USG abdomen and chest X-ray were done on follow up. 43.3% patients in the current study were avoided from unnecessary laparotomy which is on the higher range than the as the literacy rate and the awareness about the disease varies when it is compared with the western population. Majority of the cases present at the advanced stage. Pre-operative Laparoscopic assessment is found to have a role in the staging of intra-abdominal malignancies, it appears to be a safe and effective means of directing appropriate therapy and avoiding unnecessary exploration. A Staging Laparoscopy performed initially before the planned surgical procedure to evaluate the operability is found to be safe & effective and need not be performed as a separate procedure in an another setting. Laparoscopic assessment pre operatively increases the respectability rate, decreases the nontherapeutic laparotomy rate, and decreases length of stay in patients with unrespectable disease.</p>
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