A retrospective analysis involving 232 patients undergoing staging laparoscopy (SL) revealed that 20.7% had occult metastases. Peritoneal carcinomatosis was the most common, affecting 17.2% of patients, followed by liver metastases. Key risk factors identified included positive cytology at staging (cm-positivity) and the presence of signet ring cells, both confirmed through multivariate analysis. The findings emphasize the need for SL in high-risk patients, especially those with cm-positive staging and specific histological features.
Journal Article by von Bechtolsheim F, Spindler M (…) Müssle B et 4 al. in Langenbecks Arch Surg
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