ROLE OF DIAGNOSTIC LAPAROSCOPY FOR ASSESSING OPERABILITY IN GASTROINTESTINAL MALIGNANCIES

Dr. Bhanjan Kumar Meher; Dr. Manoj Kumar Sethy

Volume : VI, Issue : VII, July - 2016

ROLE OF DIAGNOSTIC LAPAROSCOPY FOR ASSESSING OPERABILITY IN GASTROINTESTINAL MALIGNANCIES

Dr. Bhanjan Kumar Meher, Dr. Manoj Kumar Sethy

Abstract :

One of the most common malignancies affecting human being worldwide are Gastrointestinal malignancies. But most of them found to be unresectable on exploratory laparotomy. Diagnostic laparoscopy considered and suggested as the most sensitive procedure for detecting metastasis and assessing operability in this categories of patients. Though spectra of investigations procedures and available to diagnose,detect and stage various gastrointestinal malignancies, Diagnostic laparoscopy have a unique place in the array of different modalities of investigations. The main role of Diagnostic laparoscopy over other imaging methods is in identifying the peritoneal and various surface lesions of different organs inside the peritoneal cavity and provision for biopsy under direct vision. Diagnostic Laparoscopy was performed in 50 patients (100%).Diagnostic Laparoscopy could accomplish proper staging in 48 cases (96%) i.e. the sensitivity of DL is 0.96 and specificity of test being 1. Unnecessary and futile laparotomies were avoided in 20 patients (40%). Only 2 patient (4%) had to subjected to laparotomy following DL and found to be unresectable. Morbidity & mortality are found to be very low in patients undergoing only Diagnostic laparoscopy.DL was associated with decreased morbidity & pain, faster recovery & quicker initiation of adjuvant therapies.