Impact of intra-operative ultrasonography in liver surgery.

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dc.contributor.authorShukla, Parul Jen_US
dc.contributor.authorPandey, Durgatoshen_US
dc.contributor.authorRao, Pramod Pen_US
dc.contributor.authorShrikhande, Shailesh Ven_US
dc.contributor.authorThakur, Meenakshi Hen_US
dc.contributor.authorArya, Supreetaen_US
dc.contributor.authorRamani, Subhashen_US
dc.contributor.authorMehta, Shaestaen_US
dc.contributor.authorMohandas, K Men_US
dc.date.accessioned2005-03-10en_US
dc.date.accessioned2009-05-29T02:33:54Z
dc.date.available2005-03-10en_US
dc.date.available2009-05-29T02:33:54Z
dc.date.issued2005-03-10en_US
dc.description.abstractBACKGROUND/OBJECTIVE: Intra-operative ultra-sonography (IOUS) during surgery for primary and metastatic hepatic tumors identifies additional lesions and helps in determining the most optimal surgical strategy. We assessed the impact of IOUS in liver surgery at our hospital, a tertiary-care cancer center. METHODS: Patients with potentially resectable hepatic tumors underwent surgical exploration. The relationship of the tumor with regard to the intrahepatic vasculature was determined by IOUS. A search was also made for additional lesions not detected by pre-operative imaging modalities. In appropriate cases, IOUS was also used to assist resection and radiofrequency ablation/ethanol injection. RESULTS: Between January 2003 and January 2005, 52 patients underwent surgery for primary or secondary hepatic tumors. IOUS was performed in 48 of these patients. It detected additional hepatic lesions in 14 patients (29.2%). IOUS contributed to changing the operative plan in 21 patients (43.8%). It was directly responsible for avoiding resection or ablation in 7 patients (14.6%), 5 of whom had multiple bilobar lesions, 1 had IOUS-guided biopsy that revealed caseating granuloma on frozen section, and 1 patient had no lesion on IOUS. Three patients had extent of resection changed based on IOUS findings. IOUS also guided radiofrequency ablation in 8 patients and ethanol injection in one patient. CONCLUSION: IOUS is an essential tool in surgery for hepatic tumors. In addition to accurate staging, it also aids in safe resection and radiofrequency ablation in appropriate cases.en_US
dc.description.affiliationDepartment of GI Surgical Oncology, Tata Memorial Hospital, Mumbai. pjshukla@doctors.org.uken_US
dc.identifier.citationShukla PJ, Pandey D, Rao PP, Shrikhande SV, Thakur MH, Arya S, Ramani S, Mehta S, Mohandas KM. Impact of intra-operative ultrasonography in liver surgery. Indian Journal of Gastroenterology. 2005 Mar-Apr; 24(2): 62-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/64295
dc.language.isoengen_US
dc.source.urihttps://www.indianjgastro.comen_US
dc.subject.meshCatheter Ablationen_US
dc.subject.meshHumansen_US
dc.subject.meshIntraoperative Perioden_US
dc.subject.meshLiver Neoplasms --secondaryen_US
dc.titleImpact of intra-operative ultrasonography in liver surgery.en_US
dc.typeJournal Articleen_US
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