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Abdominal Computed Tomography Does Not Replace Celiotomy

Allen O. Cook, MD; Barry A. Levine, MD; Kenneth R. Sirinek, MD, PhD; Harold V. Gaskill, III, MD

Arch Surg. 1986;121(5):603-606.

Abstract
• Computed tomography (CT) has been suggested as an alternative to celiotomy for predicting the stage and resectability of gastric carcinoma. Since it is the policy at our institution to explore all patients regardless of CT findings, this experience was reviewed to see if changes were warranted. Thirty-seven patients with gastric adenocarcinoma underwent preoperative CT scanning. The extent of disease found after operation was compared with the CT assessment. Nineteen patients (51%) were found to have more extensive disease than was predicted by CT. Of the six patients predicted to have widespread disease by CT, three (50%) were found at operation to have disease confined to the stomach or regional nodes. These data support a continued role for celiotomy in managing gastric adenocarcinoma of the stomach since a significant percentage of patients whose disease is believed to be unresectable after CT have potentially curable lesions.

(Arch Surg 1986;121:603-606)

Author Affiliations
From the Department of Surgery, The University of Texas Health Science Center and the Audie L. Murphy Veterans Administration Hospital, San Antonio.

Footnotes
Accepted for publication Jan 28, 1986.

Read before the 93rd Annual Meeting of the Western Surgical Association, Rochester, Minn, Nov 18, 1985.

Reprint requests to Department of Surgery, University of Texas Health Sciences Center, 7703 Floyd Curl Dr, San Antonio, TX 78284-7842 (Dr Levine).

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