Staging laparoscopy for gastric cancer: European consensus

van Hootegem, Sander J M;Guchelaar, Niels A D;van der Sluis, Karen;Triemstra, Lianne;Deswysen, Yannick;et.al.
(2025) British Journal of Surgery — Vol. 112, n° 9, p. znaf144 [1-10] (2025)

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Authors
  • van Hootegem, Sander J Morcid-logoDepartment of Surgery, Erasmus Medical Centre , Rotterdam ,
    Author
  • Guchelaar, Niels A Dorcid-logoDepartment of Medical Oncology, Erasmus MC Cancer Institute , Rotterdam ,
    Author
  • van der Sluis, Karenorcid-logoDepartment of Surgery, Antoni van Leeuwenhoek , Amsterdam ,
    Author
  • Triemstra, LianneDepartment of Surgery, University Medical Centre Utrecht , Utrecht ,
    Author
  • Deswysen, YannickUCLouvain
    Collaborator
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Abstract
(en) Gastric cancer is the fifth most prevalent cancer and the third most common cause of cancer-related deaths globally1. Gastric cancer frequently metastasizes to the peritoneal cavity. The incidence of peritoneal metastases at the time of diagnosis, including free cancer cells in peritoneal washings, ranges from 15% to 32%, and its presence is associated with a poor prognosis. Due to the low sensitivity of conventional imaging such as CT or PET-CT for peritoneal metastases, staging laparoscopy is performed to exclude small-volume macroscopic peritoneal dissemination or free cancer cells, and to assess the local resectability of the tumour.
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van Hootegem, S. J. M., Guchelaar, N. A. D., van der Sluis, K., Triemstra, L., Mönig, S. P., Rawicz-Pruszyński, K., Rosati, R., Morgagni, P., Erodotou, M., Solaini, L., De Manzoni, G., Polkowski, W., Puccetti, F., Giacopuzzi, S., Gisbertz, S. S., So, J. B. Y., Ruurda, J. P., van der Sluis, P. S. L., Lagarde, S. M., et al. (2025). Staging laparoscopy for gastric cancer: European consensus. British Journal of Surgery, 112(9), znaf144 [1-10]. https://doi.org/10.1093/bjs/znaf144 (Original work published 2025)