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Diagnostic staging laparoscopy: General principles for staging primary digestive malignancies

Jeffrey Marks, MD
Section Editor
Stanley W Ashley, MD
Deputy Editor
Wenliang Chen, MD, PhD


Diagnostic staging laparoscopy (DSL) is performed to determine the feasibility of the proposed curative cancer operation. DSL complements the preoperative assessment of radiographic imaging, which has limitations for identifying regional extension of the primary tumor and/or metastatic disease, such as peritoneal involvement [1,2].

The general principles and approach for performing a DSL for patients with a primary digestive malignancy are reviewed here. Laparoscopic assessment and/or resection of other malignant and benign diseases are discussed in separate topics.


The goal of diagnostic staging laparoscopy (DSL) for primary digestive malignancies is to identify and/or disprove the presence of local, regional, and/or metastatic disease. DSL aids in identifying extra-organ disease that would preclude an attempt for an intended curative resection.

Indications for DSL include [2]:

Assessment for resectability with curative intent of the following primary digestive cancers:

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Literature review current through: Nov 2017. | This topic last updated: Aug 25, 2017.
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