Operative color Doppler imaging for general surgery

Abstract

Operative CDI was performed during 125 general surgical operations (53 hepatic, 25 biliary, 24 pancreatic, 7 esophagogastric, 10 pulmonary, 3 kidney transplant, and 3 soft tissue operations). Operative CDI provided beneficial information in 108 of 125 operations (86.4%). On the basis of operative CDI findings, surgical management was altered in 34 of 125 operations (27..2%), most frequently hepatic and pancreatic operations. Operative COl demonstrated advantages over 8-mode imaging in (1) detection and localization of small blood vessels that are impossible T he use of COl in diagnostic medicine has been expanding rapidly. However, in the field of surgery, the application of CDI as an intraoperative sonographic modality has been limited to cardiovascular surgery. t -4 The value of operative ultrasonography with CDI has not been documented in general surgery involving mainly hepatobiliary, pancreatic, and gastrointestinal procedures, except for a ABBREVIATIONS COl, Color Doppler imaging Received

Intraoperative ultrasonography in open and laparoscopic abdominal surgery: an overview

“…Evaluation of the target area must be complete, and the organ should be systematically and thoroughly screened by multiplanar scanning maneuvers. The use of color Doppler can greatly enhance the examination [63,105]. It can provide quick recognition of vascular structures, significantly enhance the examination, and avoid misinterpretation of visualized tubular structures, averting confusion of the CBD with the portal vein or hepatic artery.…”

“…The use of color Doppler imaging facilitates the delineation of the anatomy and identification of the vascular structures [63,105]. Laparoscopic US of the biliary tract provides information not only on the intraluminal pathology, but also on the extraluminal pathology, and helps to assess its extent [Figs.…”