Cargando…

Techniques of staging laparoscopy and peritoneal fluid assessment in gastric cancer: a systematic review

BACKGROUND: Staging laparoscopy for gastric cancer is recommended to assess the tumor’s locoregional extension and exclude peritoneal disease. As there is no consensus on optimizing the procedure’s diagnostic accuracy, we aimed to systematically review the literature on operative techniques, followe...

Descripción completa

Detalles Bibliográficos
Autores principales: Rawicz-Pruszyński, Karol, Erodotou, Maria, Pelc, Zuzanna, Sędłak, Katarzyna, Polkowski, Wojciech, Pawlik, Timothy M., Wijnhoven, Bas P.L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10651295/
https://www.ncbi.nlm.nih.gov/pubmed/37581636
http://dx.doi.org/10.1097/JS9.0000000000000632
_version_ 1785147622707691520
author Rawicz-Pruszyński, Karol
Erodotou, Maria
Pelc, Zuzanna
Sędłak, Katarzyna
Polkowski, Wojciech
Pawlik, Timothy M.
Wijnhoven, Bas P.L.
author_facet Rawicz-Pruszyński, Karol
Erodotou, Maria
Pelc, Zuzanna
Sędłak, Katarzyna
Polkowski, Wojciech
Pawlik, Timothy M.
Wijnhoven, Bas P.L.
author_sort Rawicz-Pruszyński, Karol
collection PubMed
description BACKGROUND: Staging laparoscopy for gastric cancer is recommended to assess the tumor’s locoregional extension and exclude peritoneal disease. As there is no consensus on optimizing the procedure’s diagnostic accuracy, we aimed to systematically review the literature on operative techniques, followed by peritoneal lavage fluid assessment in gastric cancer patients. Specifically, we sought to indicate the most common characteristics of the procedure and cytological evaluation. METHODS: This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The protocol for this systematic review was registered on PROSPERO database (CRD: 42022306746). On September 2022, a search was carried out using Embase, Medline ALL, Cochrane Central Register of Controlled Trials, and Web of Science Core Collection. RESULTS: The search identified 1632 studies on staging laparoscopy and 2190 studies on peritoneal fluid assessment. Some 212 studies were included. Open Hasson was the method of choice in accessing the peritoneal cavity in 65% of the studies, followed by establishing a pneumoperitoneum at 10–12 mmHg in 52% of reports. Most frequently, the patient was positioned supine (70%), while a 30° scope and three ports were used to assess the peritoneal cavity clockwise (72%, 77%, and 85%, respectively). Right and left upper abdomen quadrants were the predominant area of laparoscopic exploration (both 65%), followed by the primary tumor region (54%), liver and pelvis (both 30%), and small bowel and spleen (19% and 17%, respectively). Regions of peritoneal lavage and aspiration were limited to the pelvis (50%), followed by right and left upper abdomen quadrants (37.5% and 50%, respectively). No studies compared different methods of operative techniques or analysis of ascites/fluid. CONCLUSIONS: This study indicates a high heterogeneity in the technique of staging laparoscopy and peritoneal fluid assessment in gastric cancer patients. Further research and initiatives to reach a consensus on the standardization of the procedure are warranted.
format Online
Article
Text
id pubmed-10651295
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-106512952023-11-15 Techniques of staging laparoscopy and peritoneal fluid assessment in gastric cancer: a systematic review Rawicz-Pruszyński, Karol Erodotou, Maria Pelc, Zuzanna Sędłak, Katarzyna Polkowski, Wojciech Pawlik, Timothy M. Wijnhoven, Bas P.L. Int J Surg Reviews BACKGROUND: Staging laparoscopy for gastric cancer is recommended to assess the tumor’s locoregional extension and exclude peritoneal disease. As there is no consensus on optimizing the procedure’s diagnostic accuracy, we aimed to systematically review the literature on operative techniques, followed by peritoneal lavage fluid assessment in gastric cancer patients. Specifically, we sought to indicate the most common characteristics of the procedure and cytological evaluation. METHODS: This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The protocol for this systematic review was registered on PROSPERO database (CRD: 42022306746). On September 2022, a search was carried out using Embase, Medline ALL, Cochrane Central Register of Controlled Trials, and Web of Science Core Collection. RESULTS: The search identified 1632 studies on staging laparoscopy and 2190 studies on peritoneal fluid assessment. Some 212 studies were included. Open Hasson was the method of choice in accessing the peritoneal cavity in 65% of the studies, followed by establishing a pneumoperitoneum at 10–12 mmHg in 52% of reports. Most frequently, the patient was positioned supine (70%), while a 30° scope and three ports were used to assess the peritoneal cavity clockwise (72%, 77%, and 85%, respectively). Right and left upper abdomen quadrants were the predominant area of laparoscopic exploration (both 65%), followed by the primary tumor region (54%), liver and pelvis (both 30%), and small bowel and spleen (19% and 17%, respectively). Regions of peritoneal lavage and aspiration were limited to the pelvis (50%), followed by right and left upper abdomen quadrants (37.5% and 50%, respectively). No studies compared different methods of operative techniques or analysis of ascites/fluid. CONCLUSIONS: This study indicates a high heterogeneity in the technique of staging laparoscopy and peritoneal fluid assessment in gastric cancer patients. Further research and initiatives to reach a consensus on the standardization of the procedure are warranted. Lippincott Williams & Wilkins 2023-08-14 /pmc/articles/PMC10651295/ /pubmed/37581636 http://dx.doi.org/10.1097/JS9.0000000000000632 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-sa/4.0/This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0 (https://creativecommons.org/licenses/by-sa/4.0/) , which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-sa/4.0/ (https://creativecommons.org/licenses/by-sa/4.0/)
spellingShingle Reviews
Rawicz-Pruszyński, Karol
Erodotou, Maria
Pelc, Zuzanna
Sędłak, Katarzyna
Polkowski, Wojciech
Pawlik, Timothy M.
Wijnhoven, Bas P.L.
Techniques of staging laparoscopy and peritoneal fluid assessment in gastric cancer: a systematic review
title Techniques of staging laparoscopy and peritoneal fluid assessment in gastric cancer: a systematic review
title_full Techniques of staging laparoscopy and peritoneal fluid assessment in gastric cancer: a systematic review
title_fullStr Techniques of staging laparoscopy and peritoneal fluid assessment in gastric cancer: a systematic review
title_full_unstemmed Techniques of staging laparoscopy and peritoneal fluid assessment in gastric cancer: a systematic review
title_short Techniques of staging laparoscopy and peritoneal fluid assessment in gastric cancer: a systematic review
title_sort techniques of staging laparoscopy and peritoneal fluid assessment in gastric cancer: a systematic review
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10651295/
https://www.ncbi.nlm.nih.gov/pubmed/37581636
http://dx.doi.org/10.1097/JS9.0000000000000632
work_keys_str_mv AT rawiczpruszynskikarol techniquesofstaginglaparoscopyandperitonealfluidassessmentingastriccancerasystematicreview
AT erodotoumaria techniquesofstaginglaparoscopyandperitonealfluidassessmentingastriccancerasystematicreview
AT pelczuzanna techniquesofstaginglaparoscopyandperitonealfluidassessmentingastriccancerasystematicreview
AT sedłakkatarzyna techniquesofstaginglaparoscopyandperitonealfluidassessmentingastriccancerasystematicreview
AT polkowskiwojciech techniquesofstaginglaparoscopyandperitonealfluidassessmentingastriccancerasystematicreview
AT pawliktimothym techniquesofstaginglaparoscopyandperitonealfluidassessmentingastriccancerasystematicreview
AT wijnhovenbaspl techniquesofstaginglaparoscopyandperitonealfluidassessmentingastriccancerasystematicreview