Morris, S;
Gurusamy, KS;
Sheringham, J;
Davidson, BR;
(2015)
Cost-effectiveness of diagnostic laparoscopy for assessing resectability in pancreatic and periampullary cancer.
BMC Gastroenterol
, 15
(1)
, Article 44. 10.1186/s12876-015-0270-x.
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Abstract
Surgical resection is the only curative treatment for pancreatic and periampullary cancer, but many patients undergo unnecessary laparotomy because tumours can be understaged by computerised tomography (CT). A recent Cochrane review found diagnostic laparoscopy can decrease unnecessary laparotomy. We compared the cost-effectiveness of diagnostic laparoscopy prior to laparotomy versus direct laparotomy in patients with pancreatic and periampullary cancer with resectable disease based on CT scanning.
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