OBJECTIVE: To find out whether intraoperative ultrasound (IOUS) of the liver should still be considered a routine procedure for patients having hepatic resections as their preoperative investigation has become so much better with the standard use of triphasic spiral computed tomograms (CT). DESIGN: Retrospective study. SETTING: University medical centre, Utrecht, The Netherlands. PATIENTS: 26 consecutive patients undergoing liver resection. MAIN OUTCOME MEASURES: How much additional information was given by IOUS, and its influence on operative strategy; how IOUS facilitated the hepatic resection. RESULTS: IOUS revealed additional information over triphasic CT in 13/26 patients, which led to a change in the surgical procedure in 4 (15%). For all 4 patients the change in surgical approach proved to be correct as judged by histology and clinical outcome. In 12 patients IOUS facilitated the resection by providing helpful three-dimensional anatomical insight. CONCLUSION: Despite recent improvements in preoperative investigation, IOUS should still be recommended as a routine procedure in patients having hepatic resections. In addition to aiding the ultimate decision about which part to resect, it also gives insight into the hepatic anatomy.
OBJECTIVE: To find out whether intraoperative ultrasound (IOUS) of the liver should still be considered a routine procedure for patients having hepatic resections as their preoperative investigation has become so much better with the standard use of triphasic spiral computed tomograms (CT). DESIGN: Retrospective study. SETTING: University medical centre, Utrecht, The Netherlands. PATIENTS: 26 consecutive patients undergoing liver resection. MAIN OUTCOME MEASURES: How much additional information was given by IOUS, and its influence on operative strategy; how IOUS facilitated the hepatic resection. RESULTS: IOUS revealed additional information over triphasic CT in 13/26 patients, which led to a change in the surgical procedure in 4 (15%). For all 4 patients the change in surgical approach proved to be correct as judged by histology and clinical outcome. In 12 patients IOUS facilitated the resection by providing helpful three-dimensional anatomical insight. CONCLUSION: Despite recent improvements in preoperative investigation, IOUS should still be recommended as a routine procedure in patients having hepatic resections. In addition to aiding the ultimate decision about which part to resect, it also gives insight into the hepatic anatomy.
Authors: James Ellsmere; Robert Kane; Ronit Grinbaum; Michael Edwards; Benjamin Schneider; Daniel Jones Journal: Surg Endosc Date: 2007-02-09 Impact factor: 4.584
Authors: Renate Hammerstingl; Alexander Huppertz; Josy Breuer; Thomas Balzer; Anthony Blakeborough; Rick Carter; Lluis Castells Fusté; Gertraud Heinz-Peer; Werner Judmaier; Michael Laniado; Riccardo M Manfredi; Didier G Mathieu; Dieter Müller; Koenraad Mortelè; Peter Reimer; Maximilian F Reiser; Philip J Robinson; Kohkan Shamsi; Michael Strotzer; Matthias Taupitz; Bernd Tombach; Gianluca Valeri; Bernhard E van Beers; Thomas J Vogl Journal: Eur Radiol Date: 2007-12-06 Impact factor: 5.315