PMID: 11333094May 3, 2001Paper

What is the yield of intraoperative ultrasonography during partial hepatectomy for malignant disease?

Journal of the American College of Surgeons
W R JarnaginL H Blumgart

Abstract

Previous studies have shown that intraoperative ultrasonography (IOUS) during hepatic resection for malignancy changes the operative plan or identifies occult unresectable disease in a large proportion of patients. This study was undertaken to reassess the yield of IOUS in light of recent improvements in preoperative staging. Patients with potentially resectable primary or metastatic hepatic malignancies subjected to exploration, bimanual palpation of the liver, and IOUS were evaluated prospectively. Intraoperative findings were recorded, and preoperative imaging studies were reanalyzed by radiologists blinded to the intraoperative findings. The extent of disease based on preoperative imaging was compared with the intraoperative findings. From October 1997 until November 1998, 111 patients were evaluated. At exploration, a total of 77 new findings or findings different than suggested on the imaging studies were identified in 61 patients (55%), the most common of which was additional hepatic tumors (n = 37). Thirty-five of 77 (45%) new findings were identified by IOUS alone and 10 (13%) by palpation alone; the remainder were identified by both palpation and IOUS. Forty-seven of 61 patients (77%) underwent a complete resection de...Continue Reading

References

Dec 1, 1990·Journal of Surgical Oncology·R E Welling, K Lamping
Nov 1, 1990·The British Journal of Surgery·J ScheeleA Altendorf-Hofmann
May 1, 1989·Annals of Surgery·G A ParkerM J Koretz
Oct 1, 1987·World Journal of Surgery·H BismuthO J Garden
Mar 1, 1993·AJR. American Journal of Roentgenology·P SoyerM Levesque
Jan 23, 1999·Journal of the American College of Surgeons·W R JarnaginL H Blumgart
Dec 10, 1999·American Journal of Surgery·G TorzilliM Makuuchi

❮ Previous
Next ❯

Citations

May 6, 2005·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·J GaaE J Rummeny
May 5, 2004·Best Practice & Research. Clinical Gastroenterology·K-G Tranberg
Jun 26, 2009·Journal de chirurgie·K SlimP Valleur
Feb 8, 2003·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·Rosie ConlonJ Peter A Lodge
Mar 1, 2006·Seminars in Interventional Radiology·J Alexander PalestyJohn F Gibbs
Jun 10, 2009·Annals of Surgical Oncology·Srinevas K ReddyBryan M Clary
Feb 22, 2008·AJR. American Journal of Roentgenology·Linda ChamiDominique Elias
Jan 14, 2009·World Journal of Gastroenterology : WJG·Edward LeenMike Averkiou
Aug 25, 2009·World Journal of Gastroenterology : WJG·Muhammad Wasif Saif
Dec 20, 2011·World Journal of Gastroenterology : WJG·Ling-Hui XuWei-Jun Peng
Mar 8, 2013·World Journal of Gastroenterology : WJG·Matteo DonadonGuido Torzilli
Jun 19, 2013·World Journal of Surgical Oncology·Marcela P CohenAlmir G V Bitencourt
Jun 8, 2013·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Nian-Song QianJia-Hong Dong
May 15, 2007·Surgical Oncology·Keh Oon Ong, Edward Leen
Jul 4, 2007·Surgical Oncology Clinics of North America·Donald L Klippenstein, Dominick M Lamonica
Jul 21, 2004·The Surgical Clinics of North America·Junji MachiRobert H Oishi
Apr 6, 2004·The Surgical Clinics of North America·Larissa BragaRichard C Semelka
Jun 18, 2004·Cancer Investigation·David A Kooby, William R Jarnagin
Jun 30, 2015·International Journal of Surgery·Angélica Maria LuccheseGabriel Garcia Rolim de Moura
May 6, 2015·The Journal of Surgical Research·Amy E FelstedSanjeev A Vasudevan
Oct 16, 2007·American Journal of Surgery·Robert A KozolWalter E Longo
Nov 5, 2005·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Guido TorzilliMarco Montorsi
Oct 19, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Vijay P KhatriJacques Belghiti
Aug 29, 2003·The British Journal of Surgery·M Nikfarjam, C Christophi
Sep 24, 2005·Journal of Surgical Oncology·Joseph J BennettMitchell C Posner
Feb 11, 2011·World Journal of Hepatology·Beat M KünzliChristoph A Maurer
Jan 5, 2021·Surgery Today·Toshiya KamiyamaTatsuya Orimo
May 23, 2002·Current Problems in Surgery·Steven A CurleyLee M Ellis

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.