Author/Editor		Pleskovič, Alojz
Title		Laparoskopija pri bolnikih s tumorji trebušne slinavke, diagnostični pomen in terapevtske možnosti
Type		članek
Source		Gastroenterolog
Vol. and No.		Letnik 5, št. 1
Publication year		2001
Volume		str. 28-30
Language		slo
Abstract		Despite the advances made since the introduction of ultrasonography, computed tomography and magnetic resonance imaging, a wide discrepancy may occur between preoperative and peroperative staging of pancreatic malignancy. Diagnostic laparoscopy performed immediatly before planned laparotomy can provide valuable information for the accurate assessment and appropriate management. It is now technically possible to perform ultrasonography through a laparoscopc cannula using high-resolution ultrasonographic transducers. This combination of laparoscopy and ultrasonography can give us additional information about liver and peritoneal metastases as well as about the size of the tumor and its infiltration growth into adjacent structures. The laparoscopic technique is useful to perform palliative procedures in patients with unresectable pancreatic tumors. The diagnostic laparoscopy, laparoscopic ultrasound and laparoscopic surgical technique are useful diagnostic and surgical methods, which are very useful in diagnosis, staging and palliation of pancreatic cancer.
Summary		Kljub napredku na področju diagnostike obolenj trebušne slinavke (UZ, CT, NMR) ugotavljamo velike razlike med preoperativnimi in peroperativnimi ocenami stadija tumorjev trebušne slinavke. Diagnostična laparoskopija, ki jo napravimo neposredno pred načrtovano laparotomijo, nam da lahko dodatne podatke o stadiju bolezni, na podlagi katerih se odločimo za najustreznejšo vrsto terapije. Za ugotavljanje drobnih metastaz v jetrih, velikosti tumorja in njegovega vraščanja v sosednje strukture je zelo koristen laparoskopski ultrazvok. pri napredovalih stadijih bolezni, ko tumor ni resektabilen, lahko z laparoskopsko tehniko napravimo paliativni poseg. Diagnostična laparoskopija, laparoskopski ultrazvok in laparoskopska tehnika so uporabne diagnostične in terapevtske metode pri ocenjevanju stadija bolezni in njegovem zdravljenju.
Descriptors		PANCREATIC NEOPLASMS LAPAROSCOPY