The value of laparoscopic intraoperative ultrasound of the liver by the surgeon

IF 0.5 4区 医学 Q4 SURGERY Annals of Laparoscopic and Endoscopic Surgery Pub Date : 2021-04-01 DOI:10.21037/ALES-20-106
Koen van der Steen, K. Bosscha, D. Lips
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引用次数: 3

Abstract

Ultrasonography is an extremely cheap, safe and minimally invasive diagnostic tool in the hands of a skillful user. It has been an important instrument in abdominal surgery for more than 30 years (1). Intraoperative ultrasound (IOUS) is an important tool to surgeons in liver resections for several reasons. It assists the operator in identifying the surgical anatomy with real time imaging and it gives him information about the size and quantity of the tumors with also a good accuracy for detecting small lesions (2,3). Different studies have shown the added value of ultrasound during laparotomic liver surgery. Zacherl et al. found that IOUS changed surgical strategy in 22.8% of cases. The sensitivity of IOUS in a segment-by-segment analysis for colorectal liver metastasis was 95.2%, which was the highest amongst the diagnostic techniques including CT and MRI. Based on these findings, they concluded that IOUS even should be considered the gold standard for hepatic neoplasms (4). Original Article
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腹腔镜手术中肝脏超声检查的价值
超声检查是一种非常便宜、安全和微创的诊断工具,掌握在熟练的用户手中。30多年来,它一直是腹部手术的重要器械(1)。术中超声(IOUS)是外科医生进行肝脏切除的重要工具,原因有很多。它有助于操作员通过实时成像识别外科解剖结构,并为他提供有关肿瘤大小和数量的信息,同时也能很好地检测小病变(2,3)。不同的研究表明超声在剖腹肝手术中具有附加价值。Zachell等人发现,在22.8%的病例中,IOUS改变了手术策略。IOUS在逐段分析中对结直肠癌肝转移的敏感性为95.2%,在包括CT和MRI在内的诊断技术中是最高的。基于这些发现,他们得出结论,IOUS甚至应该被视为肝肿瘤的金标准(4)。原始文章
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
20
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