Intraoperative sonography of the pancreas

Smith, SJ; Vogelzang, RL; Donovan, Joseph; Atlas, Susan J.; Rm, Gore; Neiman, H L

doi:10.2214/ajr.144.3.557

Cited by 32 publications

(13 citation statements)

References 3 publications

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“…[4][5][6] Endovascular ultrasonographic techniques have been described for use in the evaluation of flow within the coronary vessels and peripheral vascular system to assess blood flow, calculation of the vessel's cross sectional area, and response to intervention. 7 One study describes implantation of microprobes within the hepatic artery and portal vein of hepatic transplant recipients during surgery with externalization of the connecting tubes.…”

Section: Discussionmentioning

confidence: 99%

Use of intraoperative ultrasonography during hepatic transplantation.

Waldman

Lee²,

Bronsther³

et al. 1998

Journal of Ultrasound in Medicine

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The aim of this study was to evaluate if intraoperative vascular ultrasonography is of clinical value in the perioperative management of hepatic transplant patients. Fifteen intraoperative ultrasonographic examinations were performed on 13 patients (five female, eight male) during transplantation. These patients had clinically suspected vascular compromise. Among the 13 patients studied intraoperatively, five were correctly diagnosed as having hemodynamically significant vascular compromise. Of the intraoperative vascular sonographic examinations, the results of 13 were in concordance with the surgical impression as to whether further intervention was necessary or if the procedure could be terminated. Intraoperative sonography demonstrates potential to be of aid to the surgeon in recognition of vascular compromise.

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Section: Discussionmentioning

confidence: 99%

Use of intraoperative ultrasonography during hepatic transplantation.

Waldman

Lee²,

Bronsther³

et al. 1998

Journal of Ultrasound in Medicine

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“…Intraoperacinë sonoskopija plaèiai naudojama kepenø ir kasos chirurgø, nes suteikia daug naudingos informacijos [97]. Taèiau diferencijuoti kasos vëþá nuo lëtinio uþdegimo yra sudëtinga net ir ðiuo bûdu.…”

Section: Intraoperacinë Sonoskopija (Ious)unclassified

Kasos galvos vėžio ir lėtinio pankreatito diagnostikos keblumai

Brimienė¹,

Brimas²,

Strupas³

2006

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A p þ v a l g a Ávadas / tikslasKlinikinëje praktikoje daþnai susiduriama su sudëtinga kasos þidininiø pokyèiø diferencine diagnostika, kai simptomatika ir instrumentiniø tyrimø duomenys neleidþia nedvejojant patvirtinti diagnozës. Ðios literatûros apþvalgos tikslaspateikti medicinos literatûros duomenis apie kasos þidininiø pokyèiø diagnostikos bûdus, jø tikslumà ir efektyviausià kasos vëþio bei lëtinio pankreatito diferencinës diagnostikos algoritmà. RezultataiNorint pasiekti gerà kasos vëþio gydymo rezultatà, bûtina anksti diagnozuoti ligà ir atlikti radikalià chirurginae operacijà. Lëtinio pankreatito gydymas ávairus -nuo simptominio, kuris paprastai atliekamas nechirurginiais metodais, iki operacinio, taikomo gana nedidelei grupei pacientø. Nors pastaruoju metu labai patobulëjo visi radiologiniai kasos þidininiø pokyèiø tyrimo metodai, diferencijuoti lëtiná pankreatità ir kasos vëþá, ypaè ankstyvosiomis jo stadijomis, iðlieka sunku. Ðiuolaikiniai tyrimo bûdai labai sumaþino klaidø skaièiø, taèiau net 5-10% kasos rezekcijø yra nepateisinamos, nes galutinio histologinio tyrimo iðvada yra lëtinis pankreatitas. Daþniausiai rekomenduojamø sonoskopijos, kompiuterinës, magnetinio rezonanso tomografijos, endoskopinës sonoskopijos, serologiniø þymenø tyrimø jautrumas ir specifiðkumas yra riboti, net ir ávairiais metodø deriniais nepasiekiama 100% jautrumo ir specifiðkumo. Absoliutaus tikslumo negarantuoja ir intervenciniai diagnostikos bûdai -kasos biopsija, kontroliuojama sonoskopu, kompiuterine tomografija ar endoskopine sonoskopija. IðvadosRemiantis atlikta literatûros ðaltiniø analize galima teigti, kad moksline patirtimi grásto prieðoperacinio kasos vëþio ir lëtinio pankreatito diferencinës diagnostikos algoritmo nëra. Tolesni tyrimai bûtini siekiant rasti optimalø diagnostikos metodø deriná, todël Vilniaus universiteto ligoninës Santariðkiø klinikø Pilvo chirurgijos centre pradëtas randomizuotas perspektyvusis kontroliuojamas kasos þidininiø pokyèiø diagnostikos metodø tyrimas, kurio tikslas -palyginti dviem ligoniø grupëms taikomus diagnostinius tyrimo metodus pagal kasos þidininiø pokyèiø diferencinës diagnostikos tikslumà, siekiant nustatyti ankstyvos stadijos kasos vëþá ir navikinio proceso iðplitimà.Pagrindiniai þodþiai: lëtinis pankreatitas, kasos vëþys, kasos þidininiai pokyèiai, kasos tyrimas V . B r i m i e n ë , G . B r i m a s , K . S t r u p a s Objective Differential diagnosis of focal pancreatic lesions often remains a dilemma in clinical practice. Our objective was to present the literature data of diagnostic accuracy in focal pancreatic lesions and the most effective algorithm in differential diagnosis of chronic pancreatitis and pancreatic cancer. ResultsThere can be enough overlap in the features and imaging of the carcinoma of the head of the pancreas and chronic pancreatitis, and sometimes the differentiation is extremely difficult. This leads to either a major pancreatic resection for a benign disease in 5-10% of the patients or rejection of surgery for a potentially curable cancer. The dia...

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“…The utility of intraoperative sonography for pancreatic disease has been well described for detection and evaluation of neoplastic and inflammatory pancreatic disease 1 – 8 . Intraoperative sonography can help substantially reduce surgical time as well as decrease potential injury to tissues and major structures.…”

mentioning

confidence: 99%

Value of Intraoperative Sonography in Pancreatic Surgery

Weinstein

Morgan

Pōder

et al. 2015

J of Ultrasound Medicine

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The utility of intraoperative sonography for pancreatic disease has been well described for detection and evaluation of neoplastic and inflammatory pancreatic disease.1–8 Intraoperative sonography can help substantially reduce surgical time as well as decrease potential injury to tissues and major structures. Imaging with sonography literally at the point of care—the surgeon's scalpel—can precisely define the location of pancreatic lesions and their direct relationship with surrounding structures in real time during surgery. This article highlights our experience with intraoperative sonography at multiple institutional sites for both open and laparoscopic surgical procedures. We use intraoperative sonography for a wide range of pancreatic disease to provide accurate localization and staging of disease, provide guidance for enucleation of nonpalpable, nonvisible tumors, and in planning the most direct and least invasive surgical approach, avoiding injury to the pancreatic duct or other vital structures.

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Intraoperative sonography of the pancreas

Cited by 32 publications

References 3 publications

Use of intraoperative ultrasonography during hepatic transplantation.

Use of intraoperative ultrasonography during hepatic transplantation.

Kasos galvos vėžio ir lėtinio pankreatito diagnostikos keblumai

Value of Intraoperative Sonography in Pancreatic Surgery

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