الفهرس 
Title : Staging laparoscopy in hepatobiliary malignancy compared to radiological staging: A comparative study
AbstractOnly 14 pages are availabe for public view
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Abstract
The aim of current study was to identify the usefulness of staging laparoscopy for patient{u2019}s selection, who have malignant obstructive jaundice, to undergo curative surgery and comparing its accuracy to that of the traditional investigation.MethodsThis prospective study was conducted in the period between September 2013 and December 2015.30 patients, having malignant jaundice, were divided to two groups for cancer staging to assess their resectability and operability. Staging of 15 patients in group A was limited to conventional diagnostic methods, while 15 patients group in group Laparoscopy was added. ResultsThe results showed that the accuracy of routine investigations in staging was 73%,while that of laparoscopy was 93%.The number of cases under staged by imagings were 8 cases(these were 3 in group A and 5 in group B) thus they were diagnosed as operable. On the other hand, just 1 case was misdiagnosed by the laparoscopy. Regarding the morbidity and mortality, there were variable complications among those who had unrequired laparotomies including one mortality case.on the other side,the incidence of complications were markedly decreased in group B,with no mortality incidence.Conclusion Diagnostic laparoscopy has a crucial role in staging people with malignant jaundice and may decrease the rate of unnecessary laparotomy in people found to have resectable disease by conventional imagings