Staging laparoscopy

Aim:

• Assess primary resectability
• Detect occult peritoneal metastases

Technique

• Supra-umbi Hasson, two more upper abdominal 5mm ports
• Lavage 500ml, then suction and send
• Photos of peritoneum, looking for nodules/mets
• Look at primary organ and omentum
• Biopsy anything