HPB ultrasound guidance techniques - Targeting

IF 1.4 Q3 SURGERY Surgery open science Pub Date : 2024-03-13 DOI:10.1016/j.sopen.2024.02.013
Matthew S. Strand, David A. Iannitti
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Abstract

Ultrasound is an indispensable tool for intraoperative assessment and treatment of hepatopancreatobiliary pathology. As minimally invasive approaches to HPB surgery continue to expand and the benefits of parenchymal-sparing liver surgery are increasingly appreciated, skillful targeting will play an even bigger role in HPB surgical practice. Techniques for intraoperative targeting of liver lesions for the purposes of biopsy and ablation, particularly in the laparoscopic setting, are the focus of this chapter.

Current evidence supports the use of ablation for a variety of liver lesions including hepatocellular carcinoma and metastatic colorectal cancer, particularly for smaller lesions.

Successful targeting requires optimization of patient position and port placement. When targeting multiple lesions, thoughtful treatment sequencing is critical to maintaining visualization and optimizing outcomes.

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HPB 超声引导技术 - 定位
超声波是术中评估和治疗肝胆胰病理不可或缺的工具。随着肝胆胰外科微创方法的不断扩大,以及人们越来越重视保肝手术的益处,娴熟的定位技术将在肝胆胰外科实践中发挥更大的作用。目前的证据支持对包括肝细胞癌和转移性结肠直肠癌在内的多种肝脏病变进行消融治疗,尤其是对较小的病变,成功的靶向治疗需要优化患者体位和端口放置。在针对多个病灶进行治疗时,周到的治疗排序对于保持可视化和优化治疗效果至关重要。
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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
0
审稿时长
66 days
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