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Der Radiologe

, Volume 44, Issue 12, pp 1154–1159 | Cite as

Anforderungen der Chirurgie an die bildgebende Diagnostik

  • T. GruenbergerEmail author
Leberdiagnostik, Teil 1
  • 65 Downloads

Zusammenfassung

Hintergrund

Die bildgebende Diagnostik ist für den Leberchirurgen ein wichtiger Baustein in der präoperativen Planung bzgl. Ausmaß und potenzieller Schwierigkeiten während einer Leberoperation.

Methoden

Wesentlich für den Therapieplan eines Patienten sind Anamnese, klinischer Befund und das erste radiologische Bild; keineswegs reicht ein schriftlicher Befund allein.

Ergebnisse

Durch die ständig verbesserte Diagnostik von Leberpathologien kann in zunehmendem Maße dem Patienten ein „wenn und aber, vielleicht und werden wir sehen“ erspart und eine sinnvolle präoperative Auslotung der therapeutischen Optionen erklärt werden.

Diskussion

Eine Besprechung in einem interdisziplinären Forum sollte im Zeitalter der Spezialisierung zentraler Bestandteil in der Diagnostik und in der daraus resultierenden Therapie von Patienten mit hepatobiliären Erkrankungen sein. Ist ein solches Forum im individuellen Fall nicht vorhanden, sollte die Einholung einer Expertenmeinung die Grundlage für weitere Therapieentscheidungen darstellen.

Schlüsselwörter

Lebertumordiagnostik MDCT MRT HCC Metastase Chirurgische Therapieoptionen für Lebertumoren 

Surgical requirements for radiological diagnostics of liver pathologies

Abstract

Background and purpose

Radiology is an essential preoperative tool for a liver surgeon to plan extent of resection and potential difficulties during liver surgery.

Material and Methods

Primary goal in defining liver pathologies is a careful patients’ history, a clinical evaluation and reviewing at least one radiological film one could acquire. Don’t rely on written reports that may direct you in a useless track. This overview tries to address the essential radiological requests of a surgeon in defining liver tumors ethiology and best optional treatment.

Results

Major advances in radiologic diagnostics led to an improvement in the adequate staging of a given liver pathology. Therefore we are nowadays able to inform our patients about possible treatment options without leaving a big gap to possible intra-operative findings which may alter the therapy. Surgical exploration to define therapeutic strategies becomes fundamental only in a minority of patients with unclear preoperative imaging studies.

Discussion

Interdisciplinary groups should define future strategies in a patient with a given liver pathology. Specialisation has defined the hepatobiliary surgeon which should be consulted in case of a liver or biliary tumor to guide possible therapeutic treatment options.

Keywords

Diagnostics of liver tumors Multidetector computed tomography MRI HCC Metastasis Surgical treatment options for liver tumors 

Notes

Interessenkonflikt:

Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen.

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Copyright information

© Springer Medizin Verlag 2004

Authors and Affiliations

  1. 1.Hepatobiliary ServiceAbteilung für Allgemeinchirurgie der Medizinischen Universität Wien
  2. 2.Hepatobiliary ServiceAbteilung für Allgemeinchirurgie der Medizinischen UniversitätWien

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