Staging laparotomy in XXXX .

@entity1 @entity3117 @entity530 @entity1410 @entity4383 @entity978 @entity1744 @entity298
Staging laparotomy (multiple liver and lymph node biopsies and splenectomy) was performed at the North Carolina Baptist Hospital in 123 @entity1 with @entity978 . There were no deaths. Wound, pulmonary, intra-abdominal or urinary tract complications developed in 17 @entity1 . Of those complications, one case each of @entity530 , @entity3117 , @entity1744 , @entity298 and @entity1410 required a major intra-abdominal operation. The @entity1 were classified on the basis of histopathology; @entity4383 --40, mixed cellularity--44, lymphocyte predominant--24, lymphocyte depleted--13, and undetermined--2. The pathological stage following laparotomy was unchanged from the clinical stage in 62%, reduced in 15%, and advanced in 23%. Subsequent therapy, therefore, was altered in 38% of the @entity1 . Lymphangiography, done in 108 @entity1 , showed lymph node involvement in 46 @entity1 and no involvement in 62 @entity1 . Of those lymphangiographic findings, 79% were confirmed histopathologically, 19% were falsely positive, and 1.8% were falsely negative. There were positive findings of @entity978 in the spleen in 42% of @entity1 . The staging laparotomy continues to be a valuable tool in the staging and treatment of @entity978 .
