Abstract
This report describes the application of intraoperative ultrasound at the explanted liver during ex situ liver surgery. A 55-year-old woman underwent extracorporeal liver resection for multilocular metastases of a duodenal leiomyosarcoma. At surgery, routine intraoperative ultrasound (5-MHz probe) was performed before hepatectomy at the completely mobilized but still normally perfused liver. After hepatectomy ultrasound of the liver was repeated at the back table. By use of the ultrasonographic examination at the back table all the metastases seen with usual intraoperative ultrasound could be confirmed. In addition, one metastasis with a diameter of 6 mm was detected which had neither been suggested by peroperative computer tomography and sonography nor by intraoperative ultrasound or surgical exploration. In cases of extracorporeal liver surgery the combination of in situ and ex situ sonography may improve the identification of hepatic metastases.
Similar content being viewed by others
References
Bismuth H, Castaing D, Garden JO (1987) The use of operative ultrasound in surgery of primary liver tumors. World J Surg 11: 610–614
Machi J, Sigel B, Zaren HA, Kurohiji T, Yamashita Y (1993) Operative ultrasonography during hepatobiliary and pancreatic surgery. World J Surg 17: 640–644
Matsuda Y, Yabuuchi I (1986) Hepatic tumors: US contrast enhancement with CO2 microbubbles. Radiology 161: 701–705
Pichlmayr R, Grosse H, Hauss J, Gubernatis G, Lamesch P, Bretschneider HJ (1990) Technique and preliminary results of extracorporeal liver surgery (bench procedure) and of surgery on the in situ perfused liver. Br J Surg 77: 21–26
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Lang, H., Oldhafer, K.J., Weimann, A. et al. Intraoperative ultrasound during ex situ liver resection. Surg Endosc 10, 347–348 (1996). https://doi.org/10.1007/BF00187389
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00187389