Hashimoto Y, Ajiki T, Yanagimoto H, Tsugawa D, Shinozaki K, Toyama H, Kido M, Fukumoto T. Risk factors for occult metastasis detected by inflammation-based prognostic scores and tumor markers in biliary tract cancer. World J Clin Cases 2021; 9(32): 9770-9782 [PMID: 34877316 DOI: 10.12998/wjcc.v9.i32.9770]
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Reader Comments:
As the author mentions in discussion, further study is needed to determine the selection criteria for staging laparoscopy.
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November 26, 2021, 13:25
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Reader Comments:
This is a retrospective study reinforces the crucial role of staging laparoscopy in BTC surgery, thereforereducing the rate of useless exploratory laparotomy.
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November 24, 2021, 13:50
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Reader Comments:
This manuscript is creation of Inflammation-based prognostic scores and tumor markers, and found that are useful in detecting occult metastasis in BTC. They concluded that based on these factors, staging laparoscopy may reduce the rate of EL.
It was a useful tool that help surgeon to choose the suitable operation method and find a right way in the surgery progress. With the evaluation of multicenter RCT, it may be more convinced.
They should figure out the location of the patients with metastasis and assess the factor of tumor location in the progress of metastasis in abdominal disseminations. And the ALBI may be more suitable than Glasgow to evaluate the prognosis.
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Submitted on:
November 22, 2021, 08:42
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Reader Comments:
Reader could not understand the association between risk factor of occult metastasis and Staging laparoscopy, which means that their title has no correspondence with their conclusions.
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