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2015 | 86 | 6 | 268-278
Article title

Intraoperative Ultrasound in the Treatment of Pancreatic Diseases

Content
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EN
Abstracts
EN
Intraoperative ultrasound (IOUS) allows confirming and verifying the preoperative diagnosis. In many cases it allows correct determination of the severity of the disease, safe surgery performance and shortening its duration. Proper assessment of anatomic structures during the surgery and evaluation of the operating field after the treatment termination, in combination with their ultrasound evaluation that permits more complete assessment of radical treatment. The aim of the study was to define current indications for the use of intraoperative ultrasound in the treatment of pancreatic lesions, based on our own experience and the cited literature. Material and methods. The Clinic, where the authors work, uses intraoperative ultrasound in everyday practice. In this paper we try to share our experience in this imaging technique. Studies were compared before the procedure both in the ultrasound and CT examination rooms with the images obtained intraoperatively. Intraoperative examination was performed by the surgeon who performed assessment before the procedure, what enabled verification of diagnoses. Presented material refers to 102 IOUS procedures performed during laparotomy due to pancreatic lesions. Results and conclusions. IOUS is a reliable test for the evaluation of both inflammatory and acute lesions in the pancreas during the surgery of chronic, symptomatic pancreatitis. It correctly determines the extent of the planned surgery. In the case of pancreatic cancer it verifies local severity of the tumour lesions, assessing involving of the peripancreatic vessels, lymph nodes and the presence of local and distant metastases, including those in the liver. IOUS proved highly effective in the evaluation of endocrine and cystic pancreatic tumours. The study significantly improves the effectiveness of intraoperative BAC and aspiration or drainage of fluid reservoirs
Publisher
Year
Volume
86
Issue
6
Pages
268-278
Physical description
Dates
published
1 - 6 - 2014
online
2 - 9 - 2014
received
21 - 5 - 2014
References
  • 1. Long EE, Van Dam J, Weinstein S et al.: Computed tomography, endoscopic, laparoscopic, and intra-operative sonography for assessing resectability of pancreatic cancer. Surg Oncology 2005; 14: 105-13.[Crossref]
  • 2. Horwhat JD, Gress F: Defining the Diagnostic Algorithm in Pancreatic Cancer. JOP. J Pancreas 2004; 5: 289-303.
  • 3. Shin LK, Brant-Zawadzki G, Kamaya A et al.: Intraoperative ultrasound of the pancreas. Ultrasound Q 2009; 25: 39-48.[PubMed]
  • 4. Sun MRM, Brennan DD , Kruskal JB et al.: Intraoperative ultrasonography of the pancreas. RadioGraphics 2010; 30: 1935-53.[PubMed][WoS][Crossref]
  • 5. Kane RA: Intraoperative ultrasonography: history, current state of the art, and future directions. J Ultrasound Med 2004; 23: 1407-20.
  • 6. Lane RJ, Glazer G: Intra-operative B-mode ultrasound scanning of the extra-hepatic biliary system and pancreas. Lancet 1980; 2: 334-37.[Crossref][PubMed]
  • 7. Kulig J, Kołodziejczyk P, Sierżęga M: Ultrasonografia laparoskopowa i śródoperacyjna. Ultrasonografia 2008; 35: 9-12.
  • 8. Mortensen MB, Fristrup C, Ainsworth A et al.: Laparoscopic ultrasound-guided biopsy in upper gastrointestinal tract cancer patients. Surg Endosc 2009, Apr 9. Published online.
  • 9. Kolecki R, Schirmer B: Intra-operative and laparoscopic ultrasound. Surg Clin North Am 1998; 78: 251-71.[Crossref]
  • 10. Mayo-Smith WW , Iannitti DA, Dupuy DE: Intraoperative sonographically guided wire cannulation of the pancreatic duct for patients under going a Puestow procedure. AJR 2000; 175: 1639-40.[Crossref]
  • 11. Merkle EM, Gorich I: Imaging of acute pancreatitis. Eur Radiol 2002; 12; 1979-92.[PubMed]
  • 12. D’Onofrio M, Vecchiato F, Faccioli N et al.: Ultrasonography of the pancreas. 7. Intraoperative imaging. Abdom Imaging 2007; 32: 200-06.[WoS][Crossref]
  • 13. Miura F, Takada T, Amano H et al.: Diagnosis of pancreatic cancer. HPB 2006; 8: 337-42.[Crossref]
  • 14. Zamboni GA, Ambrosetti MCh, D’Onofrio M et al.: Ultrasonography of the pancreas. Radiol Clin N Am 2012; 50: 395-406.[Crossref][WoS]
  • 15. Brimiene V, Brimas G, Strupas K: Differential diagnosis between chronic pancreatitis and pancreatic cancer: A prospective study of 156 patients. Medicina (Kaunas). 2011; 47: 154-62.
  • 16. Hiramoto JS, Feldstein VA, LeBerge JM et al.: Intraoperative ultrasound and preoperative localization detects all occult insulinomas. Arch Surg 2001; 136: 1020-26.[PubMed][Crossref]
  • 17. Machi J, Sigel B, Zaren HA et al.: Operative ultrasonography during hepatobiliary and pancreatic surgery. World J Surg 1993; 17:640-45.[Crossref]
  • 18. Norton JA: Intraoperative methods to stage and localize pancreatic and duodenal tumors. Ann Oncol 1999; 10 (Suppl. 4): 182-84[Crossref][PubMed]
  • 19. Kaneko T, Nakao A, Inoue S et al.: Intraoperative ultrasonography by high-resolution annular array transducer for intraductal papillary mucinous tumors of the pancreas. Surgery 2001; 129: 55-65.[Crossref][PubMed]
  • 20. Kalafat H, Mihmanli I, Saribeyoglu K et al.: Intraoperative doppler ultrasound: A reliable diagnostic method in insulinoma. Hepatogastroenterol 2007; 54: 1256-58.
  • 21. Isla A, Arbuckle JD, Kekis BP et al.: Laparoscopic management of insulinomas. Br J Surg 2009; 96: 185-90.[Crossref]
  • 22. Kaczmarek B, Kostyrka R, Wójcicki M i wsp.: Śródoperacyjna ultrasonografia w chirurgii raka trzustki. Pol Przegl Chir 2000; 72: 37-41.
  • 23. Ihse I, Axelson J, Dawiskiba S et al.: Pancreatic biopsy: Why? When? How? World J Surg 1999; 23: 896-900.[PubMed][Crossref]
  • 24. Saez A, Catala I, Brossa R et al.: Intraoperative fine needle aspiration cytology of pancreatic lesions. Acta Cytol 1995; 39: 485-88.[PubMed]
  • 25. Niederau C, Grendell JH: Diagnosis of pancreatic carcinoma. Imaging techniques and tumor markers. Pancreas 1992; 7: 66-86.[Crossref][PubMed]
  • 26. Benson MD, Gandhi MR: Ultrasound of the hepatobiliary-pancreatic system. World J Surg 2000; 24: 166-70.[PubMed][Crossref]
  • 27. Vargas R, Nino-Murcia M, Trueblood W et al.: MDCT in pancreatic adenocarcinoma: prediction of vascular invasion and resectability using a multiphasic technique with curved planar reformations. AJR 2004; 182: 419-25.[Crossref]
  • 28. Ferrone CR , Correa-Gallego C, Warshaw AL et al.: Current trends in pancreatic cystic neoplasms. Arch Surg 2009; 144: 448-54.[Crossref][WoS][PubMed]
  • 29. Lipiński M, Degowska M, Rydzewska G: Zmiany torbielowate w trzustce. Przegl Gastroenterol 2007; 2: 315-39.
  • 30. Spinelli KS , Fromwiller TE, Daniel RA et al.: Cystic pancreatic neoplasms. Observe or operate. Ann Surg 2004; 239: 651-9.
  • 31. Ćwik G, Krupski W, Zakościelny A, Wallner G: Diagnostyka i leczenie torbieli rzekomych i guzów torbielowatych trzustki - na podstawie materiału własnego oraz przeglądu literatury. J Ultrason 2013; 13: 263-81.
  • 32. Gierbliński I, Wocial T, Jarosz D i wsp.: Ultrasonografia wzmocniona kontrastem w różnicowaniu guzów trzustki. Ultrasonografia 2008; 33: 16-20.
Document Type
Publication order reference
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_pjs-2014-0048
Identifiers
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