Abstract
The performance of a general exploratory laparotomy immediately after opening the abdominal cavity has long been a foundation of surgical practice. Since the introduction of laparoscopy, this procedure has been modified. This may result in certain intra-abdominal pathologies being overlooked, especially in areas that are hard to observe with the laparoscope. In this paper we describe two patients who presented with carcinomas after uneventful laparoscopic procedures, one of the lower oesophagus and the other of the pancreas. This raises questions about the extent of preoperative investigation before the performance of laparoscopic procedures.
Full text
PDF

Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Baird D. R., Wilson J. P., Mason E. M., Duncan T. D., Evans J. S., Luke J. P., Ruben D. M., Lucas G. W. An early review of 800 laparoscopic cholecystectomies at a university-affiliated community teaching hospital. Am Surg. 1992 Mar;58(3):206–210. [PubMed] [Google Scholar]
- Bernard H. R., Hartman T. W. Complications after laparoscopic cholecystectomy. Am J Surg. 1993 Apr;165(4):533–535. doi: 10.1016/s0002-9610(05)80956-0. [DOI] [PubMed] [Google Scholar]
- Cotton P. B. Endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy. Am J Surg. 1993 Apr;165(4):474–478. doi: 10.1016/s0002-9610(05)80944-4. [DOI] [PubMed] [Google Scholar]
- Kirk R. M. Exploration of the abdomen. Ann R Coll Surg Engl. 1976 Nov;58(6):452–456. [PMC free article] [PubMed] [Google Scholar]
- Lillemoe K. D., Yeo C. J., Talamini M. A., Wang B. H., Pitt H. A., Gadacz T. R. Selective cholangiography. Current role in laparoscopic cholecystectomy. Ann Surg. 1992 Jun;215(6):669–676. doi: 10.1097/00000658-199206000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Perissat J. Laparoscopic cholecystectomy: the European experience. Am J Surg. 1993 Apr;165(4):444–449. doi: 10.1016/s0002-9610(05)80938-9. [DOI] [PubMed] [Google Scholar]
- Rickman A., Kistner R. L., Schlinkert R. T. Complete abdominal exploration is unnecessary during the treatment of cholelithiasis. J Laparoendosc Surg. 1993 Jun;3(3):205–208. doi: 10.1089/lps.1993.3.205. [DOI] [PubMed] [Google Scholar]
