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Impact value of laparoscopic ultrasound over triphasic computed tomography in the management of hepatic focal lesions
Author(s) -
Seleem Mohammed I.,
Salaam Mohammed A.
Publication year - 2019
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/1744-1633.12393
Subject(s) - medicine , radiology , computed tomography , ultrasound , ultrasonography , diaphragmatic breathing , resection , surgery , pathology , alternative medicine
Aim Intraoperative ultrasound has an established role in hepatic resections for patients who undergo surgery for potential liver resection. The aim of the present study was to evaluate the impact of laparoscopic intraoperative ultrasonography (LUS) findings compared to pre‐operative triphasic computed tomography (TCT) findings in the management of hepatic focal lesions. Patient and methods Eighty‐seven patients with 192 hepatic focal lesions underwent preoperative TCT and intraoperative LUS evaluation. Data in each case were collected, including number, site and size of hepatic focal lesions. Results There were 112 lesions detected on preoperative TCT, and 80 additional new lesions (42 per cent) were detected in 50 patients, as confirmed by LUS. Twenty‐three lesions (12 per cent) in 20 patients were treated by resection or ablation, and correct staging of the tumours was possible in 61 patients (70 per cent). Conclusion The use of LUS can be considered a cornerstone for any contemplated hepatic surgery, as it corrects the staging of these lesions. In addition, the present study proved that LUS is more sensitive than TCT in detecting liver tumours, especially smaller lesions and those on the inferior and diaphragmatic surfaces of the liver.