Copyright
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 7, 2016; 22(5): 1859-1868
Published online Feb 7, 2016. doi: 10.3748/wjg.v22.i5.1859
Published online Feb 7, 2016. doi: 10.3748/wjg.v22.i5.1859
Staging laparoscopy improves treatment decision-making for advanced gastric cancer
Yan-Feng Hu, Hao Liu, Ting-Yu Mou, Tao Chen, Xin Lu, Da Wang, Jiang Yu, Guo-Xin Li, Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China
Zhen-Wei Deng, Department of General Surgery, Dongguan People’s Hospital, Dongguan 523000, Guangdong Province, China
Author contributions: Hu YF and Deng ZW contributed equally to this work in the design of the study and preparation of the manuscript and should be both considered as co-first authors; Yu J and Li GX contributed equally to this paper; all authors approved the final manuscript.
Supported by Guangdong Provincial Science and Technology Key Project, the National Key Technology R and D Program, No. 2013BAI05B00; the Major Program of Science and Technology Program of Guangzhou, No. 201300000087; research Fund of Public Welfare in Health Industry, Health Ministry of China, No. 201402015; Research Fund of Public Welfare in Health Industry, No. 201502039; and Key Clinical Specialty Discipline Construction Program.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Nanfang Hospital.
Informed consent statement: Patients were given informed consent and agreed to participate in the study.
Conflict-of-interest statement: The authors declare no conflict of interest in this work.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Guo-Xin Li, MD, PhD, FRCS, Department of General Surgery, Nanfang Hospital, Southern Medical University, No. 1838, North Guangzhou Avenue, Guangzhou 510515, Guangdong Province, China. gzliguoxin@163.com
Telephone: +86-20-61641681 Fax: +86-20-61641683
Received: May 5, 2015
Peer-review started: May 11, 2015
First decision: September 29, 2015
Revised: October 19, 2015
Accepted: November 24, 2015
Article in press: November 24, 2015
Published online: February 7, 2016
Processing time: 261 Days and 0.2 Hours
Peer-review started: May 11, 2015
First decision: September 29, 2015
Revised: October 19, 2015
Accepted: November 24, 2015
Article in press: November 24, 2015
Published online: February 7, 2016
Processing time: 261 Days and 0.2 Hours
Core Tip
Core tip: Staging laparoscopy plays an important role in advanced gastric cancer (GC) staging, which performs better than computed tomography or endoscopic ultrasound. Staging laparoscopy can improve treatment decision-making for advanced GC and decrease unnecessary exploratory laparotomy. Tumor size (≥ 40 mm), depth of tumor invasion (T4b), and Borrmann type (III or IV) were significantly correlated with either peritoneal metastasis or positive cytology. The best performance in diagnosing P-positive was obtained when two or three risk factors existed.