INTRAOPERATIVE ULTRASOUND EXAMINATION OF HILAR CHOLANGIOCARCINOMA /TUMOR OF KLATSKIN /
Journal Title: Journal of IMAB - Annual Proceeding (Scientific Papers) - Year 2012, Vol 18, Issue 3
Abstract
Purpose: To compare the opportunities of the intraoperative ultrasound examination of the liver with the preoperative imaging methods – Computer tomography (CT), Ultrasound examination (US) in detecting hepatic lesions in patients with tumor of Klatskin (hilar cholangiocarcinoma). Patients and methods: This is a prospective study of 7 patients, which had undergone open operative intervention for tumor of Klatskin. The affecting of the liver by the tumor process was examined preoperatively with Ultrasound examination and Computer tomography with contrast amplification, and by inspection and palpation and intra operative ultrasound during the operative intervention. Results: The maximum numbers of malignant lesions are found by IOUS - totally 21. Preoperative ultrasound found 5 lesions or 23,80% of the maximum number and preoperative CT – 9 or 33,33%. The information from IOUS changed the operative plan in 2/7 of the patients (28,57%). A biliary stent was placed under the control of IOUS in one patient with a heavy hyperbilirubinemia – 791,6 µmol/l. Conclusions: IOUS is significantly helpful in surgery of tumor of Klatskin. Besides the precise localization and staging of the tumor the information of IOUS changes the surgical strategy in some patients.
Authors and Affiliations
Ivailo Vazharov, Daniel Kostov
Keywords
Related Articles
- EP ID EP87883
- DOI 10.5272/jimab.2012183.261
- Views 152
- Downloads 0
ASSESSMENT AND MANAGEMENT OF BEHAVIORAL PROBLEMS IN VASCULAR DEMENTIA
Behavioral disorders in dementia are troublesome and impact the family, caregivers, nursing or hospital staff. A number of strategies have been developed to reduce that burden. The assessment of demented patients is co...
REGISTRATION OF INTERNAL MORPHOLOGICAL CHARACTERISTICS OF THE TOOTH USING DENTAL PHOTOGRAPHY
Purpose: Dental photography plays important role in the transfer of information between dentists as well as in communication between them and the dental technicians. It is very important to take precise photos of e...
HISTOLOGIC AND ELECTRON MICROSCOPIC PERIAPICAL TISSUE EXAMINATION RESULTS IN TEETH WITH CHRONIC APICAL PERIODONTITIS.
Introduction: Key stages in the treatment of chronic apical periodontitis (CAP) are the assessment of the status of periapical zone, effective decontamination and subsequent sealing of the root canal space. Purpos...
THE METHOD OF BIPLANE DOUBLE-SUPPORTED SCREW FIXATION (BDSF) AT FEMORAL NECK FRACTURES - PRINCIPLE AND CLINICAL OUTCOMES
The current work is given over to the particular purpose of revealing the principle and clinical outcomes of the novel method of Biplane double-supported screw fixation (BDSF), introduced in our Department of Geria...
ADRENAL ONCOCYTOMA IN CHILDREN – case report
Adrenal oncocytomas are usually non functional and hence incidentally detected. Most of these adrenal neoplasms are benign. Functioning adrenocortical oncocytomas are extremely rare and most reported patients are between...