What are the NCCN guidelines for staging laparoscopy in patients with pancreatic cancer?

Updated: Mar 07, 2019
  • Author: Tomislav Dragovich, MD, PhD; Chief Editor: N Joseph Espat, MD, MS, FACS  more...
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Answer

The NCCN recommends staging laparoscopy in patients who meet any of the following criteria [2] :

  • CA 19-9 level >150 U/mL
  • Low-volume ascites
  • Tumor in the body of the pancreas
  • Borderline resectable tumor
  • Tumor size >3 cm
  • Common bile duct lymphadenopathy

The NCCN guidelines aside, staging laparoscopy may not be absolutely necessary in a patient with a borderline resectable tumor, if the treatment team plans to use neoadjuvant chemotherapy to shrink the tumor before resection.


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