Staging laparoscopy (SL) has high accuracy for identifying peritoneal disease (PD) in advanced gastric cancer, improving patient selection for treatment.
- SL detected PD in 54.9% of 761 treatment-naive patients, with an accuracy of 96.8%.
- Key predictors for PD include CA19-9 >37 u/ml and poorly differentiated histology.
This predictive scoring system (0-6) can stratify PD risk, aiding surgical decision-making.
- For example, a score of 0 has a 32.4% PD incidence, escalating to 100% with a score of 6.
Evaluation Study by Kudou K, Irino T (…) Nunobe S et 2 al. in Br J Surg
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