Hisham Khalifa MD1, Ahmed Touny MD1 , Ihab Saad1 , Ahmed Abd elmaabood2 , Iman Hussein3 , Sherif Maamoon1
Mohamed Abd El-Moneim El-Masry(MD); Muhammad El Marzouky (MD); Yehia Fayez (Msc)
Ahmed M.S.M. Marzouk MD, Hany M.S. Mikhail MD, Abdrabou N Mashhour MD, Emad Fathi MSC
Mohamed Abd El-Moneim El-Masry(MD); Hussein Oukasha(MD)
Mohamed El-Maadawy, MD & Amr Abdelraheem, MD.
Mohamed I Abdelaziz, MD, Salah S. Soliman,MD, Hany F Habashy
Wael L. Tobar, A Ayad MD, A Morad* MD
Haidy N. Ashem MD. and Mohamed Yehia MD.
Ahmed Touny MD, Amr Selim. MD
Ayman M. A. Ali MD. & Ahmed Gaber Mahmoud MD
Ahmed Ali Ebrahiem Ali, M.Sc.
Amr Ibrahim Fouad (MD), Ashraf AbolFottoh (M), Sameh El Noamany Mohamed Hazem (MD)
Ahmed Samir Hosny.M.D.MRCS (Ed); Mohamed El Maadawy. M.D
Waheed Yousry Gareer MD, Mohamed El-Sayed Safa MD, Amr Seliem MD
Role of Laparoscopy in Management of Intra-abdominal Tumors
Staging laparoscopy allows internal visualization of the abdomen and is capable to accurately stage
intraabdominal tumors. Between 2007 and 2013 at Cairo National Cancer Institute hospital 70 patients
underwent laparoscopic procedures as follow: 20 patients underwent laparoscopic assessment (10 for
hepatic tumors and 10 with pancreatic tumors) and 10 patients with hepatic tumors were subjected to
laparoscopic radio frequency ablation (RFA) and 20 patients underwent laparoscopic resectional
procedures (adrenalectomy in 10 patients and splenectomy in 10 patients). 10 patients underwent palliative
laparoscopic procedures (gastrostomy in 5 patients and colostomy in 5 patients) and 10 patients underwent
adjuvant laparoscopic procedures (oophropexy in 5 patients and oophrectomy in 5 patients). Results:
Three out of 10 assessed patients with hepatic tumors proved to have inoperable disease and another three
out of 10 assessed patients with pancreatic carcinoma proved to have inoperable disease. These six
patients were spared unnecessary coeliotomy. Nine out of 10 patients who were subjected to laparoscopic
RFA showed complete ablation of their hepatic tumors. For all patients there were no intraoperative
complications and the relevant procedures were safe and feasible. The results of estimated time of each
procedure, estimated blood loss, length of hospital stay and post-operative analgesia were comparable to
the published results of other workers. Conclusion: It can be concluded that laparoscopic staging or
resectional or palliative procedures are safe and feasible with the least morbidity.
Key words: Laparoscopic, Resection, Palliative procedures.