ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2015
Is intraoperative ultrasound still useful for the detection of colorectal cancer liver metastases?
Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 30 citations in OpenAlex.
- Intraoperative confocal laser endomicroscopy for real-time in vivo tissue characterization during surgical procedures.Surgical endoscopy · 2019Trial
- Review
- Current role of intraoperative ultrasonography in hepatectomy.Surgery today · 2021Review
- The Italian Consensus on minimally invasive simultaneous resections for synchronous liver metastasis and primary colorectal cancer: A Delphi methodology.Updates in surgery · 2021Article
- Comparison of laparoscopic ultrasound and liver-specific magnetic resonance imaging for staging colorectal liver metastases.Surgical endoscopy · 2021Article
- Prospective Non-Randomized Study of Intraoperative Assessment of Surgical Resection Margin of Colo-Rectal Liver Metastases.Journal of Cancer · 2021Article
- Article
- First application of intraoperative MRI of the liver during ALPPS procedure for colorectal liver metastases.Langenbeck's archives of surgery · 2020Article
- A Mechatronic Platform for Computer Aided Detection of Nodules in Anatomopathological Analyses via Stiffness and Ultrasound Measurements.Sensors (Basel, Switzerland) · 2019Article
- [Contrast-enhanced ultrasound (CEUS) of the liver : Critical evaluation of use in clinical routine diagnostics].Der Radiologe · 2017Review
- MWA Versus RFA for Perivascular and Peribiliary CRLM: A Retrospective Patient- and Lesion-Based Analysis of Two Historical Cohorts.Cardiovascular and interventional radiology · 2016Article
- Complex Surgical Strategies to Improve Resectability in Borderline-Resectable Disease.Current colorectal cancer reports · 2015Article
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6 authors at 1 institution in 1 country.
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Abstract
backgroundDebate on the optimal mode of preoperative imaging in the management of colorectal liver metastases (CRLM) is ongoing and, despite its longstanding use, the precise role of intraoperative ultrasonography (IOUS) is not well established. This study evaluates the impact of IOUS in the era of high-quality, cross-sectional imaging techniques.
methodsAll patients who underwent liver resection for CRLM in a tertiary care referral centre from January 2006 to December 2013 were included. All patients were submitted to computed tomography (CT) and/or liver magnetic resonance imaging (MRI) before surgery. Intraoperative US was performed mainly to detect previously non-diagnosed tumours that would change the surgical strategy.
resultsA total of 225 liver resections were performed. Liver MRI and CT scans were available for 202 patients (89.8%) and 225 patients (100%), respectively. Radiological reports recorded 632 liver tumours in 219 patients (i.e. 2.9 lesions per patient). The median time between preoperative liver MRI and surgical resection was 36 days. Intraoperative inspection, palpation and US found 20 additional lesions in 18 patients (8.0%), in three of whom lesions were diagnosed only on IOUS (1.4%). Overall, only 12 of the 20 lesions were malignant.
conclusionsAlthough CT and liver MRI are commonly used, IOUS alone allows the discovery of a few additional lesions that result in a change of surgical strategy in 1.4% of cases.
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