الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Surgical resection of upper gastro-intestinal malignancies, including lower esophageal, gastric, duodenal cancers, carries significant morbidity and mortality. Accurate preoperative staging of cancer has became essential for optimal patient care. Traditionally, patients were subjected to open exploration often for staging purposes. After staging laparoscopy, exploratory laparotomy for cancer staging has became un diserable as it lead to increased morbidity and mortality. Aims: The aim of the work is to discuss the role of laparoscope in: Proper staging of upper gastro-intestinal malignancies; (lower esophagus, gastric, duodenal malignancies). Possible palliation in advanced cases for: Gastric outlet obstruction., Pain. Summary: Surgical resection of upper gastro-intestinal malignancies, including lower esophageal, gastric, duodenal cancers, carries significant morbidity and mortality. In some patients, palliative procedures such as laparoscopic celiac plexus block to treat intactable pain from upper abdominal malignancies can be performed. Main advantages of laparoscopy over laparotomy include avoidance of large incision, undue tissue handling and retraction which contribute to well-being of the patient, even though the local peritoneal inflammatory response is reduced, the systemic immunity is better preserved in laparoscopy surgery. Keywords: Role of Laparoscope, Staging and Palliation , Upper Gastro-Intestinal Malignancies |