Minimally Invasive Staging Surgery for Cancer

Noah A. Cohen, Thomas Peter Kingham

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations


Staging laparoscopy (SL) is used to assess for radiographically occult metastatic disease and local resectability in selected patients with gastrointestinal malignancies. SL may avoid nontherapeutic laparotomy in patients with unresectable cancer and is associated with shorter length of hospital stay and time to receipt of systemic therapy compared with nontherapeutic laparotomy. With improvements in preoperative imaging, careful patient selection for SL is imperative. SL and peritoneal washings should be considered for patients with distal gastroesophageal and locally advanced gastric cancer before planned neoadjuvant chemotherapy or resection. SL should be considered in selected high-risk patients with hepatopancreatobiliary malignancies.

Original languageEnglish
Pages (from-to)61-77
Number of pages17
JournalSurgical Oncology Clinics of North America
Issue number1
StatePublished - Jan 2019
Externally publishedYes


  • Cancer
  • Colorectal liver metastasis
  • Gastric
  • Laparoscopy
  • Pancreas
  • Staging


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