Change in preoperative strategy based on intraoperative ultrasound findings

Forty patients with primary liver carcinoma and 52 with liver secondaries underwent careful preoperative evaluation using computed tomography and magnetic resonance imaging, as well as intraoperative studies using intraoperative ultrasound (IOUS). The results were compared to histological findings....

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Bibliographic Details
Published inInternational surgery Vol. 94; no. 1; p. 58
Main Authors Pazaiti, Anastasia, Pazaitis, Athanasia M, Toutouzas, Konstantinos G, Papadimitriou, Dimitris I, Papadopoulos, Basil D, Papacostas, Lila S, Strigaris, Kyriakos A, Papadimitriou, John D
Format Journal Article
LanguageEnglish
Published Italy 01.01.2009
Subjects
Adult
Aged
Female
Hepatectomy - methods
Humans
Intraoperative Care - methods
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - surgery
Magnetic Resonance Imaging
Male
Middle Aged
Preoperative Care - methods
Tomography, X-Ray Computed
Ultrasonography, Interventional
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Summary:Forty patients with primary liver carcinoma and 52 with liver secondaries underwent careful preoperative evaluation using computed tomography and magnetic resonance imaging, as well as intraoperative studies using intraoperative ultrasound (IOUS). The results were compared to histological findings. In the 40 patients with primary tumors who underwent hepatic resection, 4 (9.1%) additional lesions were found using IOUS, and in 10 (25%) instances, our preoperative strategy was changed (either a more extensive or more conservative excision was performed). In the 52 cases with metastatic disease who underwent hepatic resection, 14 (21.2%) more lesions were detected, and in 15 (29%) patients, the preoperative strategy was changed. Based on IOUS findings, of 92 patients, a total of 18 (16.4%) additional lesions were detected; in addition, our preoperative strategy changed in 25 (27.2%) of the cases with primary and secondary liver tumors.
ISSN:0020-8868