The global concept of preoperative staging of malignancies is to select, as best as possible, those patients who are or are not candidates for operative resection. In the case of periampullary neoplasms, we have good, non-operative "palliation" for patients with non-curable neoplasms. Because a celiotomy for a periampullary neoplasm that proves to be non-resectable is not therapeutic and obligates the patient to an "unnecessary" postoperative recuperation/recovery, preoperative staging laparoscopy can help to select those patients who are at highest chance for potentially curative resection and will prevent celiotomy in most of those with unresectable disease.
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For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.