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Leigh Selesner, Gabrielle Gauvin, Dorotea Mutabdzic, Eileen O’Halloran, Maxwell Kilcoyne, Kwan-Keat Ang, Jeffrey Farma, Elin Sigurdson, and Sanjay Reddy

important for determining CS candidacy. Computed tomography (CT) scan is the preoperative assessment of choice, and diagnostic laparoscopy (DL) is also supported in the literature but has not been widely adopted. In this study, we report our experience

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Mark Bloomston, Henry Kaufman, John Winston, Mark Arnold, and Edward Martin

comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report . J Am Coll Surg 1998 ; 187 : 46 – 54 ; discussion 54–55 . 10 Lacy AM Garcia-Valdecasas JC Delgado S . Laparoscopy-assisted colectomy

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Ernest S. Han and Mark Wakabayashi

on uterine and cervical cancers. Most studies involve nonrandomized retrospective reviews of institutional experiences. A recent phase III trial comparing laparoscopy to laparotomy for uterine cancer staging in 1682 patients reported that the

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Quan P. Ly and Aaron R. Sasson

esophagogastric junction . Surg Endosc 2007 ; 21 : 2272 – 2276 . 14. Nakagawa S Nashimoto A Yabusaki H . Role of staging laparoscopy with peritoneal lavage cytology in the treatment of locally advanced gastric cancer . Gastric Cancer 2007 ; 10

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Alfredo A. Santillan, Jeffrey M. Farma, Kenneth L. Meredith, Nilay R. Shah, and Scott T. Kelley

596–588 . 8. Stein HJ Kraemer SJ Feussner H . Clinical value of diagnostic laparoscopy with laparoscopic ultrasound in patients with cancer of the esophagus or cardia . J Gastrointest Surg 1997 ; 1 : 167 – 172 ; discussion 172

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Meaghan Tenney and Joan L. Walker

Piedmonte MR . Phase III trial of laparoscopy versus laparotomy for surgical resection and comprehensive surgical staging of uterine cancer: a Gynecologic Oncology Group Study funded by the National Cancer Institute . Presented at the 37th Annual Meeting

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Amanda N. Fader

extent of adjuvant therapy, and managing locoregional recurrence. In fact, laparoscopy has become the gold standard treatment of many gynecologic conditions, “both benign and malignant,” reported Dr. Fader. Many studies have shown improved outcomes with

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Michael P. Porter and Paul H. Lange

Renal tumors are a common cause of cancer, and renal cell carcinoma accounts for the vast majority of the renal tumors in the United States. The past two decades have produced numerous advances in the treatment of localized and metastatic renal cell carcinoma. Nephron-sparing surgery, laparoscopic nephrectomy, and energy-ablative techniques are now in the armamentarium of the urologist. The role of adrenalectomy and lymphadenectomy are better understood today than in decades past, and recent advances in the understanding of immunotherapy, cytoreductive nephrectomy, and metastatic disease have also improved treatment for this disease. As is often the case as technology and knowledge evolve, controversies regarding the surgical treatment of renal cancer exist. This article outlines some of these controversies and reviews the evidence surrounding each.

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Robert J. Morgan Jr., Ronald D. Alvarez, Deborah K. Armstrong, Barry Boston, Robert A. Burger, Lee-may Chen, Larry Copeland, Marta Ann Crispens, David Gershenson, Heidi J. Gray, Perry W. Grigsby, Ardeshir Hakam, Laura J. Havrilesky, Carolyn Johnston, Shashikant Lele, Ursula A. Matulonis, David M. O'Malley, Richard T. Penson, Steven W. Remmenga, Paul Sabbatini, Russell J. Schilder, Julian C. Schink, Nelson Teng, and Theresa L. Werner

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City of Hope Cancer Center

Gastric carcinoma is rampant in many countries around the world. An estimated 36,380 new cases of upper GI carcinomas and 25,120 deaths from these tumors will occur in the United States in 2005. These guidelines provide a systematic approach to gastric cancer and discuss advances in staging procedures such as laparoscopy and endoscopic ultrasonography and in possible functional imaging techniques. The guidelines also discuss the new standard in the United States: combination chemotherapy and radiotherapy in the adjuvant setting for a select group of patients.

For the most recent version of the guidelines, please visit