Preferences help
enabled [disable] Abstract
Number of results
2013 | 85 | 2 | 78-82
Article title

The Value of Intraoperative Liver Ultrasound Assessment Using an Intraabdominal Probe During Laparotomy Performed for Oncological Reasons

Title variants
Languages of publication
The quality of liver assessment in an oncological patient plays an important role in the selection of a proper type of medical intervention. Diagnostic techniques commonly used in liver imaging are still far from perfect. Intraoperative liver evaluation using an intraabdominal ultrasound probe remains an important tool for proper assessment of this organ. The aim of the study was to evaluate suitability of this intraoperative diagnostic method for detection of primary and secondary neoplastic pathologies of the liver. Material and methods. Between March 2010 and the end of December 2011, we performed intraoperative ultrasound examinations of the liver during 220 of 461 laparotomies carried out for oncological reasons. Results. In 72 patients (33%), intraoperative ultrasonography using an intraabdominal probe revealed neoplastic pathologies in the liver. In 16 patients (7%), the pathologies had not been observed in the preoperative imaging examinations. In 7 cases (3%), the detected tumors were impalpable and invisible in macroscopic examination routinely performed during laparotomy. The time of performing preoperative liver examinations did not affect the detection of previously unrecognized liver tumors (p > 0.05). We found progression in the number of liver tumors in 28 patients (39%). In 20 patients (9%), the primary surgical plans were changed intraoperatively. Conclusions. Liver examination using an intraabdominal ultrasound probe is a useful tool for assessment of neoplastic disease progression. The procedure allows proper choice of an optimal treatment regime and decreases the risk of performing an unnecessary oncological invasive procedure.
Physical description
1 - 02 - 2013
22 - 03 - 2013
  • 1. Floriani I, Torri V, Rulli E et al.: A. Performance of imaging modalities in diagnosis of liver metastases from colorectal cancer: a systematic review and metaanalysis. J Magn Reson Imaging 2010; 31: 19-31.[Crossref][WoS]
  • 2. Wagnetz U, Atri M, Massey Ch et al.: Intraoperative ultrasound of the liver in primary and secondary hepatic malignancies: comparison with preoperative 1.5-T MRI and 64-MDCT. AJR 2011; 196: 562-68.
  • 3. Sietses C, Meijerink MR, Meijer S et al.: The impact of intraoperative ultrasonography on the surgical treatment of patients with colorectal liver metastases. Surg Endosc 2010; 24: 1917-22.[Crossref][WoS]
  • 4. D’Hondt M, Vandenbroucke-Menu F, Preville-Ratelle S et al.: Is intra-operative ultrasound still useful for the detection of a hepatic tumour in the era of modern pre-operative imaging? HPB 2011; 13: 665-69.[WoS][Crossref]
  • 5. Jakimowicz JJ .: Intraoperative ultrasonography in open and laparoscopic abdominal surgery: an overview. Surg Endosc 2006; 20: 425-35.[Crossref]
  • 6. Santambrogio R, Opocher E, Pisani Ceretti A et al.: Impact of intraoperative ultrasonography in laparoscopic liver surgery. Surg Endosc 2007; 21: 181-88.[Crossref][PubMed]
  • 7. Kulig J, Popiela T, Kłęk S et al.: Intraoperative ultrasonography in detecting and assessment of colorectal liver metastases. Scand J Surg 2007; 96: 51-55.
  • 8. Patel NA , Roh MS: Utility of intraoperative liver ultrasound. Surg Clin N Am 2004; 84: 513-24.[Crossref]
  • 9. Vledder MG, Pawlik TM, Munireddy S et al.: Factors determining the sensitivity of intraoperative ultrasonography in detecting colorectal liver metastases in the modern era. Ann Surg Oncol 2010; 17: 2756-63.[WoS][Crossref]
  • 10. Conlon R, Jacobs M, Dasgupta T et al.: The value of intraoperative ultrasound during hepatic resection compared with improved improved preoperative magnetic resonance imaging. Eur J Ultrasound 2003; 16: 211-16.[Crossref][PubMed]
  • 11. Wildi SM, Gubler CH , Hany T et al.: Intraoperative sonography in patients with colorectal cancer and resectable liver metastases on preoperative FDG-PET-CT. J Clin Ultrasound 2008; 36: 20-26.[Crossref][WoS][PubMed]
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.