A Bauschke1. 1. Klinik für Allgemein‑, Viszeral- und Gefäßchirurgie, Universitätsklinikum Jena, Erlanger Allee 101, Jena, Deutschland. astrid.bauschke@med.uni-jena.de.
Abstract
CLINICAL/METHODICAL ISSUE: Exact diagnostic procedures are prerequisite for surgical treatment of bile duct diseases. STANDARD RADIOLOGICAL METHODS: Magnetic resonance cholangiopancreatography may be supplemented by computed tomography (CT) for planning surgical interventions, for staging diagnostics in malignancies and for imaging the vascular anatomy in the upper abdomen. METHODICAL INNOVATIONS: Statements from magnetic resonance cholangiopancreatography (MRCP) and CT may be supplemented via digital workup in selected cases of transplantation medicine and in liver surgery. Thus, a virtual resection planning including volumetry of the individual liver segments can be realized. PERFORMANCE: Magnetic resonance cholangiopancreatography provides for exact imaging of intrahepatic and extrahepatic bile ducts as well as those situated within the head of the pancreas and their pathologies. PRACTICAL RECOMMENDATIONS: Radiological diagnostics of bile duct malignancies, benign outflow obstructions, in transplantation medicine and in postoperative complication management are an indispensable prerequisite in surgical treatment.
CLINICAL/METHODICAL ISSUE: Exact diagnostic procedures are prerequisite for surgical treatment of bile duct diseases. STANDARD RADIOLOGICAL METHODS: Magnetic resonance cholangiopancreatography may be supplemented by computed tomography (CT) for planning surgical interventions, for staging diagnostics in malignancies and for imaging the vascular anatomy in the upper abdomen. METHODICAL INNOVATIONS: Statements from magnetic resonance cholangiopancreatography (MRCP) and CT may be supplemented via digital workup in selected cases of transplantation medicine and in liver surgery. Thus, a virtual resection planning including volumetry of the individual liver segments can be realized. PERFORMANCE: Magnetic resonance cholangiopancreatography provides for exact imaging of intrahepatic and extrahepatic bile ducts as well as those situated within the head of the pancreas and their pathologies. PRACTICAL RECOMMENDATIONS: Radiological diagnostics of bile duct malignancies, benign outflow obstructions, in transplantation medicine and in postoperative complication management are an indispensable prerequisite in surgical treatment.
Authors: Giovanni Varotti; Gabriel E Gondolesi; Jeffrey Goldman; Michael Wayne; Sander S Florman; Myron E Schwartz; Charles M Miller; Emre Sukru Journal: J Am Coll Surg Date: 2004-04 Impact factor: 6.113
Authors: Noboru Nakamura; Seigo Nishida; Guy R Neff; Anil Vaidya; David M Levi; Tomoaki Kato; Phillip Ruiz; Andreas G Tzakis; Juan R Madariaga Journal: Transplantation Date: 2005-02-27 Impact factor: 4.939
Authors: P Neuhaus; S C Schmidt; R E Hintze; A Adler; W Veltzke; R Raakow; J M Langrehr; W O Bechstein Journal: Chirurg Date: 2000-02 Impact factor: 0.955