Laparoscopic intraoperative restaging for pancreatic cancer

Abstract

Early recurrence of pancreatic cancer after resection is common, which may be due to the existence of occult metastasis in abdominal cavity or the liver which is difficult to be detected by preoperative imaging. Intraoperative restaging, including detection of occult metastases, peritoneal cytology, exclusion of liver metastasis and paraaortic lymph node sampling by using staging laparoscopy, can identify the patients with occult metastasis, avoid unnecessary radical resection, and initiate systemic treatment as early as possible, so as to prolong the survival of these patients.