Laparoscopic vs. open intraoperative ultrasound examination of the liver: a controlled study

Tandan, Véd; Asch, Murray; Margolis, M.; Page, Ann; Gallinger, Steven

doi:10.1016/s1091-255x(97)80102-3

Cited by 29 publications

(12 citation statements)

References 10 publications

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“…Key words: Hepatocellular carcinoma -Liver cirrhosis -Laparoscopic ultrasound -Radiofrequency interstitial thermal ablation In recent years, laparoscopy with laparoscopic ultrasound (L-LUS) introduced the option of a fairly aggressive and accurate staging modality in the pretreatment evaluation of cirrhotic patients with hepatocellular carcinoma (HCC) [11, 28,39]. Furthermore, L-LUS allows the performance of US-guided biopsy [36] or interstitial therapies, such as ethanol injection, cryoablation, or radiofrequency interstitial thermal ablation (RITA), in the same session [8,15,16,22,31].…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of laparoscopic radiofrequency of hepatocellular carcinoma in patients with liver cirrhosis

et al. 2003

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Background: The optimal treatment for hepatocellular carcinoma (HCC) is surgical resection. However, only a small percentage of patients are operative candidates. Percutaneous radiofrequency interstitial thermal ablation (RITA) has been shown to be efficacious in the treatment of unresectable HCC. Recent advances in laparoscopic ultrasound have greatly improved the accuracy in detecting intrahepatic HCC nodules, many of which were missed by computed tomography. Our objective was to introduce a novel operative combination of laparoscopic ultrasound with laparoscopic RITA in the treatment of HCC. Methods: Eighty-eight patients with HCC in liver cirrhosis were submitted to laparoscopic RITA under sonographic guide. Most patients were in Child's A class of liver function. Patients with large tumors (>5 cm), portal vein thrombosis, or severe liver disease (Child's C class) were excluded. Results: The laparoscopic RITA procedure was completed in 86 of 88 patients (98% feasibility rate). Laparoscopy with laparoscopic ultrasound identified 23 new malignant lesions (27%) in comparison with the results of preoperative imaging. A total of 127 lesions were treated by RITA. There was no operative mortality. Sixty-one patients had no complication (71%). After a mean follow-up of 14.3 ± 11.6 months, a complete response with a 100% necrosis was achieved in 70 of 83 patients examined (86%). During follow-up, 9 patients (11%) locally recurred at the RITA site and 38 patients (46%) had new malignant nodules. Conclusions: Laparoscopic RITA of HCC proved to be a safe and effective technique in the short term. This technique may be indicated when the percutaneous approach to the lesion is very difficult or if the patient is too ill to undergo laparotomy.

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Section: Introductionmentioning

confidence: 99%

Safety and efficacy of laparoscopic radiofrequency of hepatocellular carcinoma in patients with liver cirrhosis

et al. 2003

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“…LUS provides the advantages of an IOUS examination, in terms of similar accuracy, with a mini-invasive access [15]. However, at the moment, LUS technology does not permit the use of a US contrast agent.…”

Section: Laparoscopic Stagingmentioning

confidence: 99%

Laparoscopic radiofrequency ablation of hepatocellular carcinoma: A critical review from the surgeon's perspective

Santambrogio

Opocher

Montorsi

2008

Journal of Ultrasound

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“…die Metastasensuche in Analogie zur intraoperativen Sonographie und bimanuellen Palpation der Leber beim offenen Eingriff an Bedeutung [7,37] und scheint der präoperativen Bildgebung weiterhin überlegen zu sein [25].…”

Section: Diagnostik Von Leberherdenunclassified

Der laparoskopische Ultraschall

Wilhelm

Feußner

2007

Chirurg

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Laparoscopic ultrasound exploration has significantly augmented the range of minimally invasive surgery. In particular it is essential for 3D exploration of the abdomen for staging. Beyond its diagnostic, purposes laparoscopic ultrasound is gaining importance for intraoperative therapeutic support, e. g. imaging of the biliary tree during laparoscopic surgery of the bile duct and for navigation during radio-frequency ablative or resective interventions on the liver and other parenchymatous organs. Compared to other imaging procedures, sonography has still the highest potential for further development. The most progress can be expected in navigated ultrasound.

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Laparoscopic vs. open intraoperative ultrasound examination of the liver: a controlled study

Cited by 29 publications

References 10 publications

Safety and efficacy of laparoscopic radiofrequency of hepatocellular carcinoma in patients with liver cirrhosis

Safety and efficacy of laparoscopic radiofrequency of hepatocellular carcinoma in patients with liver cirrhosis

Laparoscopic radiofrequency ablation of hepatocellular carcinoma: A critical review from the surgeon's perspective

Der laparoskopische Ultraschall

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