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Staging laparoscopy in Hodgkin's disease -of equal value to staging laparotomy


, : Staging laparoscopy in Hodgkin's disease -of equal value to staging laparotomy. DMW (Deutsche Medizinische Wochenschrift) 118(39): 1401-1404

A 30-year-old man with Hodgkin's disease, stage 1A, had received radiotherapy to the supradiaphragmatic lymphnodes two years ago. During follow-up observations the patient felt well, but sonography revealed three tumours in the spleen. The erythrocyte sedimentation rate was found to be raised to 50/75 mm. Therefore, splenectomy and staging of the other parts of the abdomen for histological clarification and deciding on further therapeutic action were indicated. Thus splenectomy with bilateral liver wedge resections were performed laparoscopically, together with excision of mesenteric, paraaortic and parailiac lymph nodes. The patient was discharged home on the 4th postoperative day. Histological examination revealed stage IIIE hodgkin's disease. - This case demonstrates that in favourable conditions staging laparoscopy can obtain the same information as conventional staging laparotomy, but it is much better tolerated by the patient.

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